| NPI | 1821273764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA C. FAY Administrative Manager 518-346-1277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |