| NPI | 1417304486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M URBAN Owner 716-639-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R057766-1) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |