| NPI | 1114938594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON NATHAN HARE President/CEO 716-881-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 1401208R) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-07-23 |