| NPI | 1881978880 |
|---|---|
| Doing Business As | MARILYN GREEN |
| Entity Type | Organization |
| Authorized Contact | MARILYN GREEN Adminsitrator 845-473-2175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY RO46741-1) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY RO46741-1) |
| 251S00000X Community/Behavioral Health (Licence: NY RO46741-1) | |
| Enumeration Date | 2011-10-09 |
| Last Update Date | 2023-09-22 |