| NPI | 1174802920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ROSALEE LEWIN President 518-641-9787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 5485) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |