| NPI | 1225883507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHEEM JONES Executive Director 585-802-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2024-04-20 |
| Last Update Date | 2024-04-22 |