NPI | 1114131075 |
---|---|
Other Name | FOOTHILLS CLINIC |
Entity Type | Organization |
Authorized Contact | MARK DONAHUE CFO 518-745-8084 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NY 02249136) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2008-12-16 |