| NPI | 1558682021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA LEA LAPLANT Chemical Dependency Counselor 518-569-9182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2010-06-18 |