| NPI | 1982820213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GALLAGHER Executive Director 518-374-8424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: NY 7638470A) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NY 7638434) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NY 7638432) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NY 7638435) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NY 7638431) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NY 7638430) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2015-04-24 |