| NPI | 1023230695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH WIOKE-GANGA President & CEO 716-842-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 6783101A) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-10-09 |