| NPI | 1790460053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FALISHA GILMAN Owner/Psychiatrist 315-842-8641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2024-05-21 |