Capital District Psychiatric Center
Social Worker, Clinical in Albany, NY. Organization (NPI-2).
NPI number1598258485
StatusActive
Last updated in NPPESJun 14, 2018
Details
- NPI
- 1598258485
- Entity type
- Organization (NPI-2)
- Legal business name
- Capital District Psychiatric Center
- Organization subpart
- No
- Enumeration date
- Jun 14, 2018
- Last updated
- Jun 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | R072780-1 | NY | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | R072780-1 | NY |
Practice location
75 New Scotland AveAlbany, NY 12208-3409
Phone 518-549-6400
Mailing address
75 New Scotland AveAlbany, NY 12208-3409
Authorized official
Jennifer Schulaner
Lmsw2
5185496400
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