| NPI | 1922171305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROBERT ROSSETTI Chief Of Behavioral Services 518-588-5922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 6223100A) | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2018-03-21 |