| NPI | 1578030797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN PASQUARELL Director Of Finance 518-482-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |