| NPI | 1558900019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CORONA Member 585-598-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2021-12-31 |