| NPI | 1740508142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R BOLZAN Director Of Clinical Services 845-291-2608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 070519) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-05-10 |