Regional Directors & Care Manager Directors
Upper Hudson Valley

Margaret Winkler-Hoffmann, MS
REGIONAL CARE MANAGER DIRECTOR
Cell: (518) 573-0961
Office: (845) 204-3240 x6515

Earl Layumas, BA
CARE MANAGER DIRECTOR
Cell: (518) 903-1129
Office: (845) 204-3240 x6514

Tiffany Lamance Douglass, LMHC
CARE MANAGER DIRECTOR
Cell: (518) 779-5486
Office: (845) 394-2676 x6103

Amanda Nuccio, BA
CARE MANAGER DIRECTOR
Cell: (518) 801-7865
Office: (845) 985-1083 x6001