| NPI | 1558041129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS ORDANE Owner 845-444-4928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2024-12-07 |