| NPI | 1790423804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY FAZZINO Licensed Mental Health Counselor 716-635-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-05-31 |