| NPI | 1992995161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN AHRENS Medical Director 716-831-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY F401080) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |