| NPI | 1144719717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE ACOSTA Director 845-401-7194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 5100-1) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-25 |