| NPI | 1528103082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN J. LONG Controller 716-842-2750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 7511100A) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2015-04-02 |