| NPI | 1124574991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA A HOLNESS Therapist 845-476-6613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 0798201) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2018-11-28 |