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, Psych/Mental Health, Adult | |
103TC0700X Psychologist, Clinical | |
104100000X Social Worker | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
Enumeration Date | 2025-07-01 |
Last Update Date | 2025-07-01 |