| NPI | 1285875054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ANTINONE Accounts Receivable 585-654-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NY 7484041) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |