| NPI | 1023263217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN N MENZEL Cota 716-308-4891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 006707-1) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |