| NPI | 1235325234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INA R BERG Project COO Rdinator 845-486-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY RO328481) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |