| NPI | 1063094688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA KURZDORFER Nurse Practitioner/President 585-360-7554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-26 |