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 |