| NPI | 1689303869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA M RUGGIERO Managing Member 518-480-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-06-06 |