| NPI | 1407588940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY CHUGH Secretary 716-636-1375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-06-24 |