| NPI | 1336339969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY SMITH Op Business Manager 518-952-8408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 081110730) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2021-12-23 |