| NPI | 1215646146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA TRUEHEART Administrator 716-622-4370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2022-11-18 |