| NPI | 1568720027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MCCOOEY President 518-694-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-15 |