| NPI | 1629243407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE T MAKECKI Chief Financial Officer 518-437-6510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NY RID1B30/VID00A02053) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2015-04-27 |