| NPI | 1295495570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE ROOSEVELT JONES Clinical Social Worker 716-465-9281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2021-12-28 |