| NPI | 1992337224 |
|---|---|
| Doing Business As | WILLOW HOUSE |
| Entity Type | Organization |
| Authorized Contact | M'LISSA MARIE SUGDEN Exc Admin Asst/Compliance 716-373-4303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2021-08-05 |