| NPI | 1477059541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANIE WILLIAMS CEO Owner 716-491-9433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |