| NPI | 1497363527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA PEREZ Owner 845-535-3233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2022-05-23 |