| NPI | 1770721698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS QUALTERE Owner/Physician 518-374-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |