| NPI | 1760563738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MICHAEL CONSTABLE Chief Financial Officer 845-635-8084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |