| NPI | 1033965611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY L TESTA Licensed Mental Health Counselor/Ow 585-234-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-25 |