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BOYS ON THE RIGHT TRACK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JULIET MEADE (EXECUTIVE DIRECTOR)
(716) 316-1789
Entity
Organization

Contact information

Practice address
1597 EVERGREEN DR, LAKE VIEW, NY 14085-9567
(716) 316-1789
Mailing address
1597 EVERGREEN DR, LAKE VIEW, NY 14085-9567
(716) 316-1789

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
251V00000X
NY

Other

Enumeration date
09/18/2015
Last updated
09/18/2015
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