| NPI | 1578380127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE LYNN PELLETT Clinical Social Worker 585-857-4667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |