| NPI | 1750272506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA RENEE MULLINGS Director Of Compliance 845-768-8758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 103T00000X Psychologist | |
| 163W00000X Registered Nurse | |
| 1041C0700X Social Worker Clinical | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |