| NPI | 1871047480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA R. AMIE Owner 585-673-2519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 006616) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 006616) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2019-03-09 |