| NPI | 1992898670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANINE ANN DYKEMAN Executive Director 518-762-5332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY R7277431) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-03-29 |