| NPI | 1902063522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYETTA LEWIS Counselor 716-731-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NY 101YA0400X) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |