| NPI | 1730391012 |
|---|---|
| Other Name | ICM SCM |
| Entity Type | Organization |
| Authorized Contact | GREGORY I LANGDON Executive Director 518-483-1251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 7533500) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |