| NPI | 1720120629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN W HULBERT Licensed Clinical Social Worker,VP 716-484-9840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY RO37505) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2009-05-15 |