| NPI | 1427452630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL HEWITT-GILL Education Specialist 518-452-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 27849) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |