| NPI | 1437103819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN SOUTHWICK Secretary 845-620-7329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2017-08-15 |