| NPI | 1134866098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI NOONAN Chief Operating Officer 518-424-6845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-05-12 |