| NPI | 1164707741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA H ALBERT Medical Director 845-624-5134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 168128) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 168128) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |