| NPI | 1790141307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANNE COOPER Sr. Recreation Therapist 716-532-2231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NY 0370682B) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |