NPI | 1235185612 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY SMITH Director, Op Billing Dept 518-952-8408 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2006-05-26 |
Last Update Date | 2021-04-29 |