| NPI | 1699170613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA OKPERHIE Cmhn 716-816-2960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: NY 22680061) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2014-11-03 |