| NPI | 1700636347 |
|---|---|
| Doing Business As | OPIOID TREATMENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | MELISSA R PARO Authorized Official 518-770-7518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |