| NPI | 1174069082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN THURMAN Clinical Director/Therapist 716-812-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20243) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |