| NPI | 1679114169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN P WADSWORTH Director/Owner Of Genesse Valley Ps 585-270-1679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-10-05 |
| Last Update Date | 2022-08-05 |