| NPI | 1770977746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M CONOLLY Sole Member 585-576-6093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078837) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |