Organization
LASALLE SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK R. LAHUT (ASSOCIATE EXECUTIVE DIRECTOR)
(518) 242-4731
Entity
Organization
Contact information
Practice address
391 WESTERN AVE, ALBANY, NY 12203-1491
(518) 242-4731
(518) 242-4744
Mailing address
391 WESTERN AVE, ALBANY, NY 12203-1491
(518) 242-4731
(518) 242-4744
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
101110842
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01439192
—
NY
Enumeration date
04/01/2008
Last updated
04/01/2008
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