| NPI | 1871004002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MONAGHAN COUGHLIN Sole Member 585-315-6674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |