| NPI | 1487983011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA SIMSON Program Director 585-546-7220 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 003812) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |