NPI | 1164041836 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE RILEY Owner 845-527-0110 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2020-04-13 |
Last Update Date | 2020-04-13 |