| NPI | 1861664617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R. LAHUT Associate Executive Director 518-242-4731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: NY 101110842) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |