| NPI | 1801640503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA ZIMMERMANN Licensed Clinical Social Worker 716-453-4839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |