| NPI | 1952278962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER FOSTER CEO 716-819-0392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-22 |