| NPI | 1437711751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA ETTI Administrator/Member 845-893-7012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |