NPI | 1063094688 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN 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 | 2024-12-12 |