| NPI | 1548998016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA M OTT President 716-783-0699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-11 |