| NPI | 1528542057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY BUNT BISHOP Owner And Clinical Director 845-867-4926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2024-01-04 |