| NPI | 1558870105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY LEE WILNER Forensic Psychologist 518-836-5536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 022202-1) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2022-07-21 |