| NPI | 1073621991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON M ELLSWORTH Operations Manager 518-828-8067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: NY 1001000H) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2008-01-07 |