NPI | 1578615423 |
---|---|
Entity Type | Organization |
Authorized Contact | YOUNG R. DO Executive Director 518-434-6468 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NY 061210043) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2020-03-05 |