| NPI | 1013130012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA WITTIG Controller 585-467-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 081111260) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2022-09-13 |