| NPI | 1598258485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SCHULANER Lmsw2 518-549-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R072780-1) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY R072780-1) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |