| NPI | 1649707555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA C SULLIVAN Owner 845-547-0479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085591) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2022-07-21 |