| NPI | 1730375726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY MICHELLE PALERMO Mental Health Counseling Extern 845-471-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NY X) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2022-07-21 |