| NPI | 1134242910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER YOUNG Chief Operating Officer 518-377-2448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2015-02-24 |