Organization
AVALON CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR BOESE (CEO)
(716) 839-0999
Entity
Organization
Contact information
Practice address
346 HARRIS HILL RD, WILLIAMSVILLE, NY 14221-7407
(716) 839-0999
(716) 839-2058
Mailing address
346 HARRIS HILL RD, WILLIAMSVILLE, NY 14221-7407
(716) 839-0999
(716) 839-2058
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9255320A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030010901
UNIVERA
NY
01
—
000526352001
BLUE CROSS BLUE SHIELD
NY
01
—
050505000054
FIDELIS
NY
01
—
7340621
GHI
NY
01
—
8090017
INDEPENDENT HEALTH
NY
Enumeration date
03/22/2006
Last updated
08/22/2020
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