| NPI | 1508868407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH WOIKE-GANGA President & CEO 716-842-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 080510843) |
| 101YM0800X Counselor, Mental Health (Licence: NY 6783100A) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2020-10-09 |