| NPI | 1003606922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANNCESCA GOODWIN Executive Director 716-348-9042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |