| NPI | 1063156693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOMBA COLLINS AKAMBA82 CHIA President & CEO 716-359-2390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-04-20 |