| NPI | 1932631801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY A MONTERO Managing Director 315-533-0453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 0054041) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 0054041) |
| 101YM0800X Counselor, Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NY 0054041) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 192617) | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2023-11-15 |