| NPI | 1649452004 |
|---|---|
| Former Legal Business Name | PEOPLE SVC DEV DISAB ADULT DT |
| Entity Type | Organization |
| Authorized Contact | GWEN LOOMIS Controller 716-817-7452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |