| NPI | 1033466388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH LUNDQUIST Owner 585-451-5126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R0212601) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |