| NPI | 1972637692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA SMITH Director Of Central Operations 518-402-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities (Licence: NY 00275410) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2009-08-20 |