| NPI | 1982291290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT MAHER Chief Executive Officer 845-481-0481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2020-12-22 |