| NPI | 1629438692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA SULLIVAN Resident Counselor 845-794-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |