Organization
820 RIVER STREET INC.
Active
Other names
Eleanor Young Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER YOUNG C.E.O (CHIEF OPERATING OFFICER)
(518) 377-2448
Entity
Organization
Contact information
Practice address
134 FRANKLIN ST, ALBANY, NY 12202-1902
(518) 465-8034
Mailing address
134 FRANKLIN ST, ALBANY, NY 12202-1902
(518) 465-8034
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03007114
—
NY
Enumeration date
04/04/2007
Last updated
02/24/2015
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