| NPI | 1194278986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA CHAMBERS, LCSW Lcswr 845-270-5469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY R044237) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY R044237) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |