| NPI | 1821378365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M. SALEEM ISMAIL Managing Member 585-482-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 218078) |
| Enumeration Date | 2011-08-27 |
| Last Update Date | 2012-08-06 |