| NPI | 1972660181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PUCCIO Director, Finance 518-473-0795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-08-12 |