| NPI | 1700546744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYRETTA HILL Clinical Social Worker 845-742-1801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2021-12-17 |