| NPI | 1073510384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE MITCH FAVER President; Licensed Psychologist 716-553-3319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 011953) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-08-22 |