NPI | 1093428294 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEX ZEIGER Owner 845-372-6480 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2023-01-03 |
Last Update Date | 2025-07-22 |