NPI | 1194819854 |
---|---|
Entity Type | Organization |
Authorized Contact | A.C. MAZUREK Executive Director 518-374-8456 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 071111047) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2020-08-22 |