| NPI | 1760999205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY S. CLAUSS Vice President 716-984-8375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |