| NPI | 1730604257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA RADLIFF Owner/Sole Member 518-545-4896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007396) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2025-03-11 |