Organization
GAVIA LIFECARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERRY L. NAU ED.D, LCSW (EXECUTIVE DIRECTOR)
(585) 371-6464
Entity
Organization
Contact information
Practice address
1343 LONG POND RD STE A, ROCHESTER, NY 14626-2913
(585) 371-6464
(585) 371-6464
Mailing address
1343 LONG POND RD STE A, ROCHESTER, NY 14626-2913
(585) 371-6464
(585) 371-6464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
04/22/2021
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