| NPI | 1992262950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE SHULMAN Executive Director 585-330-0780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2020-07-06 |