| NPI | 1881799872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDEE LYNNE SHUMAN Licensed Clinical Social Worker 845-708-0143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-09-12 |