| NPI | 1235514019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN OGULNICK Owner/Director 845-565-5072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 6711) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |