Organization
INNER HORIZONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELOISE MARIE POTENZA PSY.D. (OWNER/PRINCIPAL)
(518) 576-9858
Entity
Organization
Contact information
Practice address
1401 UNION ST, SCHENECTADY, NY 12308-3023
(518) 576-8423
(518) 314-0886
Mailing address
11 PEEL ST, SELKIRK, NY 12158-9734
(518) 576-8423
(518) 314-0886
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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