| NPI | 1982011730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN M THOMPSON Owner 585-760-4981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 078844) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |