| NPI | 1922210657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD K. HITZEL President 716-842-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2017-06-05 |