| NPI | 1942429527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN LANG CFO 585-461-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: NY TB100185) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY TB100185) |
| 1041C0700X Social Worker, Clinical (Licence: NY TB100185) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-01-04 |