| NPI | 1578009908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNA LYNN HOROVITZ Member 845-605-2672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NY 0841384) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 0841384) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |