# WITNESS CARES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Witness CARES, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417589904
- **Authorized official:** DETRIC D JOHNSON CASE MANAGEMENT (PRESIDENT)
- **Authorized official phone:** (716) 302-4137

## Contact information

- **Practice address:** ELM AND CARLTON ST, BUFFALO, NY 14263-0001
- **Practice address phone:** (716) 302-4137
- **Practice address fax:** (716) 845-3511
- **Mailing address:** 535 WYOMING AVE STE A, BUFFALO, NY 14215-3137
- **Mailing address phone:** (716) 302-4137
- **Mailing address fax:** (716) 845-3511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 02/12/2020
- **Last updated:** 02/12/2020