| NPI | 1659759470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MARIE DOROSZCZUK Social Worker: Lmsw 2 716-532-2231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: NY 077034) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |