Provider First Line Business Practice Location Address:
2925 HAMBURG ST
Provider Second Line Business Practice Location Address:
ST PETERS ADDICTION RECOVERY CENTER
Provider Business Practice Location Address City Name:
SCHENECTADY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12303-4343
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-357-2909
Provider Business Practice Location Address Fax Number:
518-357-2937
Provider Enumeration Date:
11/21/2006