| NPI | 1366840001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH SMITH Licensed Clinical Social Worker 716-430-2524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NY PR052686) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |