| NPI | 1932139300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY SHORT CARR President/CEO 716-883-1914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 03B0358) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-02-28 |