NPI | 1144091620 |
---|---|
Entity Type | Organization |
Authorized Contact | PEGGY SAMANTHA DERIVAN President 585-766-3082 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-01-12 |
Last Update Date | 2024-01-12 |