| NPI | 1164138079 |
|---|---|
| Doing Business As | CREOSOTE TOTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | SUZANNE TARIOT SHEARD Medical Director 585-737-5293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2024-09-09 |