| NPI | 1306411244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SHEAR Owner 716-410-5390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 111N00000X Chiropractor | |
| 163W00000X Registered Nurse | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-08-09 |