| NPI | 1548772312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LEE BADACH Licensed Clinical Social Worker 716-331-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY R071801-01) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |