| NPI | 1487310157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA BEYER Assistant Secretary 716-545-1976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2024-03-08 |