Organization
ACHIEVEMENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI CALLISTER (DIRECTOR AND OWNER)
(518) 782-1178
Entity
Organization
Contact information
Practice address
623 NEW LOUDON RD, LATHAM, NY 12110-4031
(518) 782-1178
(518) 782-3433
Mailing address
623 NEW LOUDON RD, LATHAM, NY 12110-4031
(518) 782-1178
(518) 782-3433
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/20/2012
Last updated
09/07/2023
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