| 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 |