| NPI | 1740773266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW KEOGH President 716-868-8654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 074180) |
| Enumeration Date | 2018-06-09 |
| Last Update Date | 2018-06-09 |