| NPI | 1902313539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE ANN ELLIOT Owner 518-584-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR022517-1) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-06-16 |