| NPI | 1093851925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP HOWARD RAINER Director Of Clinical Services 518-462-6531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2009-03-19 |