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Organization

MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP. V

Active
Other names
Spectrum Human Services
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE C NISBET (PRESIDENT/CEO)
(716) 662-2040
Entity
Organization

Contact information

Practice address
1280 MAIN ST, THIRD FLOOR, BUFFALO, NY 14209-1912
(716) 842-6713
(716) 842-0988
Mailing address
227 THORN AVE, BOX 631, ORCHARD PARK, NY 14127-2600
(716) 662-2040
(716) 662-0019

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2717531
NY
Enumeration date
11/28/2007
Last updated
11/28/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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