| NPI | 1760651855 |
|---|---|
| Other Name | BRIDGEBACK OF THE KINGSTON HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | KELLY A MCGINNIS Director Of PFS 845-943-6023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: NY 061110591) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |