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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