| NPI | 1376899336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY YOLANDA HUNT President/CEO 716-464-7057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |