Organization
MENTAL HEALTH SERVICES OF ERIE COUNTY SECV
Active
Other names
Spectrum Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE NISBET (PRESIDENT/CEO)
(716) 662-2040
Entity
Organization
Contact information
Practice address
1280 MAIN ST, BUFFALO, NY 14209-1912
(716) 884-5797
(716) 884-4938
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
100611522
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660577
—
NY
Enumeration date
04/23/2008
Last updated
07/19/2016
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