| NPI | 1407192032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLLY JO CORMAN Psychotherapist 845-348-0721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 051386-1) |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2012-12-31 |