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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