| NPI | 1376728543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HANSEN HANSEN Owner 845-485-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008399-1) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |