| NPI | 1962102830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY LAWRENCE Owner 716-359-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-04-03 |