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 |