| NPI | 1639249857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN M. CONNALLY Executive Director 518-482-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 03025755) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2015-03-16 |