| NPI | 1851014443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY SMITH Owner 518-250-6193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-09-20 |