| NPI | 1164256269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SANTORO Sole Member 585-880-0974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |