| NPI | 1972981579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KROPCZYNSKI Accounts Manager 716-796-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |