| NPI | 1578618963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANN E KETTLER Substance Abuse Therapist 845-876-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 133131438) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2008-06-26 |