| NPI | 1699587501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE KRAMER Member Manager 518-217-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-07-11 |