| NPI | 1710042700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY WATSON Casac 518-465-9345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 11365) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 11365) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |