| NPI | 1144901877 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JONI REBECCA MCLEOD Licensed Mental Health Counselor 716-697-2431  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2023-07-26 | 
| Last Update Date | 2023-07-26 |