| NPI | 1013428275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DOUGLAS ALLEN Assistant Secretary Legal 845-620-7330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2018-06-16 |