| NPI | 1891024113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY JEROME GRACE President 716-882-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 163371) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2009-12-16 |