| NPI | 1639880842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VONDOLYN L LANE CEO 716-705-3889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP1600X Counselor Pastoral | |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2022-12-08 |