| NPI | 1760023733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA REGAN Therapist 585-420-7280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |