| NPI | 1326422452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JIMENEZ Executive Director 716-281-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005579) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2024-06-27 |