| NPI | 1851048565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MCINTOSH Chief Administration Officer 845-389-1287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-03-03 |