| NPI | 1568181014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIYAD MOHAMMED ROUF Owner 518-992-2609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |