| NPI | 1760927933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALLEN ORR Fiscal Manager 845-808-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NY 3950200R) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2025-05-01 |