| NPI | 1740054113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH URENA Director 845-267-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2024-10-24 |