| NPI | 1487975645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORNINGSTAR VANNIER Social Worker 518-482-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |