| NPI | 1972084366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA DALTON Assosciate Commissioner 518-408-2098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |