| NPI | 1245532639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE L BOFFOLI BENTZEN LCSW PLLC Sole Managing Member Of P LLC 845-519-5415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R048664-1) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY R048664-1) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2017-01-08 |