| NPI | 1225997778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUENTIN GAUSE CEO 585-201-0982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2026-01-20 |
| Last Update Date | 2026-01-20 |