| NPI | 1710674882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SUSAN MILLER Owner 716-458-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-04-19 |