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Organization
BUFFALO BEACON CORPORATION
Active
Organization
BUFFALO BEACON CORPORATION
Active
Other names
Beacon Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE L WEST MBA, CASAC (CHIEF OPERATING OFFICER)
(716) 831-1937
Entity
Organization
Contact information
Practice address
3354 SHERIDAN DR, AMHERST, NY 14226-1439
(716) 831-1937
(716) 831-8837
Mailing address
3354 SHERIDAN DR, AMHERST, NY 14226-1439
(716) 831-1937
(716) 831-8837
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
050610689
NY
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM2800X
Methadone Clinic
170912042
NY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
06/10/2005
Last updated
05/18/2021
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