# BUFFALO BEACON CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beacon Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083618672
- **Authorized official:** MRS. JACQUELINE L WEST MBA, CASAC (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (716) 831-1937

## Contact information

- **Practice address:** 3354 SHERIDAN DR, AMHERST, NY 14226-1439
- **Practice address phone:** (716) 831-1937
- **Practice address fax:** (716) 831-8837
- **Mailing address:** 3354 SHERIDAN DR, AMHERST, NY 14226-1439
- **Mailing address phone:** (716) 831-1937
- **Mailing address fax:** (716) 831-8837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 050610689 | NY | Yes |
| 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
