| NPI | 1003549130 |
|---|---|
| Other Name | ST. JOSEPH'S GUEST HOUSE |
| Entity Type | Organization |
| Authorized Contact | KEVIN PROVOST Manager 518-357-8387 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-06 |