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Organization
CITY GATE LIFE RECOVERY CENTER, INC.
Active
Organization
CITY GATE LIFE RECOVERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL CONKLIN (OWNER)
(716) 883-7713
Entity
Organization
Contact information
Practice address
610 ASHLAND AVE, BUFFALO, NY 14222-1309
(716) 510-5801
Mailing address
610 ASHLAND AVE, BUFFALO, NY 14222-1309
(716) 510-5801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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