| NPI | 1245645324 |
|---|---|
| Doing Business As | WENDY'S HOUSE SUPPORTIVE LIVING |
| 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 150910172) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2021-08-05 |