| NPI | 1952874844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAUNNA LIPSCOMB CEO 518-331-0825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2024-04-23 |