| NPI | 1144351255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IHOR ZANKIW Executive Director 716-874-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2016-09-02 |