| NPI | 1396388807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JOHN GILPIN Associate Executive Director 518-371-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2020-01-22 |