| NPI | 1922785328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE HERNANDEZCORDOVA Owner 845-540-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2025-10-17 |