| NPI | 1447030705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANGERIA RASHIDA ADAMS-THUERCK Clinical Psychologist 716-203-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |