Mountain Lake Services
NPI #1073987848 in Port Henry, New York
Provider Information
- NPI Number
- 1073987848
- Entity Type
- Organization
- Organization Name
- Mountain Lake Services
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Nov 17, 2015
- Last Updated
- Nov 17, 2015
Practice Location
- Address
- 10 ST PATRICK PL
- City
- Port Henry
- State
- New York
- ZIP Code
- 12974-1200
- Phone
- (518) 546-3386
Authorized Official
- Name
- MS. SARAH LOUER, LMSW
- Title
- DIRECTOR OF CLINICAL SERVICES
- Phone
- (518) 546-3386
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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