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 |