| NPI | 1811504665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE MARIE JACOBSEN Mental Health Counselor 845-248-3722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-10-02 |