| NPI | 1013544808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY A MILLER Mental Health Counselor 716-524-1311 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |