| NPI | 1750001848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SCARFONE Practice Manager 716-338-8786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-08-30 |