| NPI | 1962204644 |
|---|---|
| Other Name | AFFECT PROVIDER GROUP |
| Entity Type | Organization |
| Authorized Contact | KARLA RENEE MULLINGS Dir. Of Compliance 845-768-8758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-05-06 |