| NPI | 1710619580 |
|---|---|
| Doing Business As | AFFECT PROVIDER GROUP, P.C. |
| Doing Business As | AFFECT THERAPEUTICS |
| Entity Type | Organization |
| Authorized Contact | KARLA RENEE MULLINGS Director Of Compliance 845-768-8758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2024-05-10 |