| NPI | 1326639550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE CYR Lcsw 845-797-5617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2021-03-28 |