| NPI | 1851767339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BENNETT Lcsw R Supervising Social Worker 845-255-2930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |