Organization
ASTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY ESSINGTON LCSWR (CLINIC SUPERVISOR)
(845) 758-0241
Entity
Organization
Contact information
Practice address
30 BENNER RD, RED HOOK, NY 12571-1543
(845) 758-0241
Mailing address
30 BENNER RD, RED HOOK, NY 12571-1543
(845) 758-0241
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
390200000X
NY
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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