| NPI | 1851452767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM BENDON Executive Director 518-272-3918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: NY 090510570) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-03-16 |