Organization
BROOKS - TLC HOSPITAL SYSTEM, INC.
Active
Other names
SUD clinics
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH LAROWE (PRESIDENT & CEO)
(716) 363-7207
Entity
Organization
Contact information
Practice address
7020 ERIE ROAD, DERBY, NY 14047
(716) 947-0316
Mailing address
529 CENTRAL AVE, DUNKIRK, NY 14048-2514
(716) 366-1111
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
Other
Enumeration date
06/23/2020
Last updated
06/08/2021
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