| NPI | 1790449726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEWART THOMAS ECKERT Supervising Superintendent 716-937-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |