| NPI | 1225597768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA SHURMATZ Owner 716-785-2903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |