Organization
THE NATIONAL WITNESS PROJECT, INC
Active
Organization
THE NATIONAL WITNESS PROJECT, INC
Active
Other names
The National Witness Project, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DETRIC DEE JOHNSON (PROJECT DIRECTOR)
(716) 550-6354
Entity
Organization
Contact information
Practice address
669 KENSINGTON AVE, BUFFALO, NY 14215-2644
(716) 845-1389
(716) 845-4069
Mailing address
669 KENSINGTON AVE, BUFFALO, NY 14215-2644
(716) 832-7566
(716) 845-4069
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
08/17/2015
Last updated
01/24/2017
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