| NPI | 1427374560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY ESSINGTON Clinic Supervisor 845-758-0241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 390200000x) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-04-14 |