| NPI | 1851796205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA COUGHLIN Clinical Psychologist 518-859-3960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 010001) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |