Organization
MENTAL HEALTH SERVCIES 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
1370 NIAGARA FALLS BLVD, TONAWANDA, NY 14150-8441
(716) 831-1856
(716) 831-0263
Mailing address
227 THORN AVE, ORCHARD PARK, NY 14127-2600
(716) 662-2040
(716) 662-0019
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6845110A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660577
—
NY
Enumeration date
04/22/2008
Last updated
06/11/2015
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