| NPI | 1972945947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ANN LAPORTE Social Worker 518-626-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: NY 72 084260) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |