| NPI | 1578909594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIS JOY PHILLIPS Lpn 716-253-4270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: NY 314090-1) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |