| NPI | 1144602871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA LISA BROWN Registered Nurse 585-260-7532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: NY 570716-1) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |