| NPI | 1003401571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN PASQUARELL Director Of Finance 518-482-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |