| NPI | 1376742429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN SOUTHWICK Secretary 845-620-7329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MA 1906682) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2017-08-21 |