| NPI | 1104293406 |
|---|---|
| Doing Business As | DEBORAH A WILSON |
| Entity Type | Organization |
| Authorized Contact | DEBORAH A WILSON Registered Nurse 585-750-1258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NY 597516-1) |
| Enumeration Date | 2015-08-22 |
| Last Update Date | 2015-08-22 |