| NPI | 1013785252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENACHEM LICHTER Managing Member 845-697-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |