| NPI | 1871138115 |
|---|---|
| Former Legal Business Name | RIVERWOOD BEHAVIORAL HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | KATHRYN GOEL Owner 585-455-0994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2020-01-02 |