| NPI | 1437565769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH WOIKE-GANGA President 716-842-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2020-10-09 |