| NPI | 1669016333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN A. PETERSEL Owner 845-499-2482 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |