| NPI | 1265270540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA MARIE GASCON Licensed Clinical Social Worker/Own 585-613-5768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |