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Upstate Music Therapy Center, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Penfield, NY. Organization (NPI-2).

NPI number1619796331
StatusActive
Last updated in NPPESOct 9, 2024

Details

NPI
1619796331
Entity type
Organization (NPI-2)
Legal business name
Upstate Music Therapy Center, LLC
Organization subpart
No
Enumeration date
Oct 9, 2024
Certification date
Oct 9, 2024
Last updated
Oct 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

401 Penbrooke Dr Bldg 3
Penfield, NY 14526-2041

Phone 585-377-1000

Mailing address

401 Penbrooke Dr Bldg 3
Penfield, NY 14526-2041

Phone 585-377-1000

Authorized official

Erin Triola
Director
5857381717

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