| NPI | 1841831252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE MARIE MILTELLO Clinical Manager 585-368-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |