NPI | 1225443211 |
---|---|
Doing Business As | HAWTHORN HOUSE |
Entity Type | Organization |
Authorized Contact | MICHAEL H PRUTSMAN Executive Director 716-373-4303 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NY 160310173) |
Enumeration Date | 2014-06-27 |
Last Update Date | 2021-08-05 |