| NPI | 1972244085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EYLEEN ORTIZ CEO 845-282-9620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-06-11 |