| NPI | 1326344409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MARIE BLY Wellness Counselor 716-731-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |