| NPI | 1023226651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS RYAN Executive Director 518-725-1512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NY 01305068) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |