| NPI | 1689554362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA RENEE MULLINGS Director Of Compliance 845-768-8758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |