| NPI | 1467245795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C PEASE CEO 716-363-6890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-07-12 |