| NPI | 1194810309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A LAWLER Associate Commissioner Division Of 518-457-5312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 060811382) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |