| NPI | 1912202482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK MCAVOY Admission Director 518-897-5011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NY 162469) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-01-14 |