| NPI | 1851775894 |
|---|---|
| Other Name | MEDICATION ASSISTED TREATMENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHANNON ELLSWORTH Operations Manager 518-828-8067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 1001000H) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2019-04-09 |