| NPI | 1417100645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DANA KNOX Fiscal Administrator 518-873-3503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2011-12-09 |