NPI | 1407055403 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY A RAINES Arc Commander 845-732-4111 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CT SA-0067) |
Enumeration Date | 2007-07-11 |
Last Update Date | 2007-07-11 |