| NPI | 1740615962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI L INGERSOLL Chief Operating Officer 716-483-2876 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |