| NPI | 1508483363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA M BENSON Executive Director 716-446-4168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2023-09-14 |