| NPI | 1508258435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA NADELL PENROSE Executive Directot 518-465-5249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NY 150811703) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |