| NPI | 1992560338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA RENEE MULLINGS Director Of Compliance 845-768-8758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-27 |