| NPI | 1558805713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SPARN Owner 716-572-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: OH 7517) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |