| NPI | 1225400245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENTE K FISCHER Psychologist 845-518-2582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 14022-1) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |