| NPI | 1902795255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA RENEE MULLINGS Director Of Compliance 845-768-8758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
| 103TC0700X Psychologist Clinical | |
| 104100000X Social Worker | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |