| NPI | 1366694994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD FERGUSON Counselor 585-292-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 000651-1) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |