| 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 |