| NPI | 1518733765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI GEORGE Owner 518-490-9165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |