| NPI | 1598909996 |
|---|---|
| Other Name | TACONIC DDSO |
| Entity Type | Organization |
| Authorized Contact | KARLA SMITH Director Of Central Operations 518-402-4333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: NY 0275786) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |