| NPI | 1659647774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES TERESA IGLESIAS Executive Director 716-856-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 347B00000X Bus |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-03-23 |