| NPI | 1427793827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAR'LESE PERRY Owner/Authorized Official 716-204-9422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-05-17 |