| NPI | 1861618837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN SOUTHWICK Secretary 845-620-7329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: PA 212290) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 251S00000X | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2019-02-05 |