| NPI | 1457608291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUVIGIS MARGARITA ESTRELLA Member 845-983-7096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2016-05-16 |