| NPI | 1346633989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LINDSTRAND Deputy Su PT Of Administration 518-639-5516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NY 000650-1) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |