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Organization
HUDSON MOHAWK RECOVERY CENTER INC
Active
Organization
HUDSON MOHAWK RECOVERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY DELORY CASAC (TROY CLINIC DIRECTOR)
(518) 272-3918
Entity
Organization
Contact information
Practice address
1724 5TH AVE, TROY, NY 12180-3541
(518) 272-3918
(518) 272-6391
Mailing address
1724 5TH AVE, TROY, NY 12180-3541
(518) 272-3918
(518) 272-6391
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
30911
NY
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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