| NPI | 1639251358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA ELIZABETH DAVID Senior Mental Health Clinician 716-842-2750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NY R034454-1) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |