| NPI | 1154517928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE A BEHUNIAK Finance Manager 518-579-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2007-09-14 |