NPI | 1003257726 |
---|---|
Entity Type | Organization |
Authorized Contact | BONNIE MANUEL President 518-522-3628 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904007238) |
Enumeration Date | 2013-07-10 |
Last Update Date | 2013-07-10 |