| NPI | 1487415121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN FLANAGAN Chief Billing Officer 845-616-4951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-09-09 |