| NPI | 1154605632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE HART Credential Verification Supervisor 518-270-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: NY P82121) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |