NPI | 1184337404 |
---|---|
Doing Business As | EMMA'S PLACE |
Entity Type | Organization |
Authorized Contact | MATTHEW RAYMOND KIEFER Board Secretary 845-453-9690 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2023-01-02 |
Last Update Date | 2023-01-02 |