| NPI | 1467595439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIESHA EVERETT Office Manager 585-232-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY R057752) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |