| NPI | 1366807240 |
|---|---|
| Other Name | MADONNA HOUSE |
| Entity Type | Organization |
| Authorized Contact | LINDSAY HERNDON CEO 716-314-5903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NY 161211951) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2023-05-23 |