| NPI | 1174789812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY IAN PARDELL President/Director 845-471-1807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 166228) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |