| NPI | 1891907507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH WOIKE-GANGA President & CEO 716-842-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2022-04-26 |