| NPI | 1215083886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI G HYRICK Administrative Director 716-446-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: CO 1173) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |