| NPI | 1790326320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD COLAVITO Chief Executive Officer 845-692-4454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |