| NPI | 1437106994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY SMITH Op Business Manager 518-952-8408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2022-11-22 |