| NPI | 1942880232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GRILLS Director Of Billing And Finance 585-698-8694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care Respite Care, Mental Illness, Child |
| Additional Taxonomies | 174200000X Meals |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2021-04-11 |
| Last Update Date | 2021-04-11 |