| NPI | 1811367170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER TOURNIER Executive VP Of Finance / CFO 518-761-0300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2020-01-31 |