| NPI | 1669709176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ANTINONE Accounts Receivable 585-654-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |