NPI | 1225366131 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY TANTILLO CEO/Clinical Director 585-641-0281 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 8171001A) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NY 8171001A) |
Enumeration Date | 2009-12-04 |
Last Update Date | 2025-08-01 |