| NPI | 1497118350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH HOWARD FLIESSER President/Treasurer 845-709-8938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 076582) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |