Organization
COUNTY OF NIAGARA
Active
Other names
Niagara County Drug Abuse Program
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA KELEMAN (DEPUTY DIRECTOR)
(716) 439-7410
Entity
Organization
Contact information
Practice address
1001 ELEVENTH STREET, ROOM 172 TROTT ACCESS CENTER, NIAGARA FALLS, NY 14301
(716) 278-8110
(716) 278-8111
Mailing address
1001 ELEVENTH STREET, ROOM 172 TROTT ACCESS CENTER, NIAGARA FALLS, NY 14301
(716) 278-8110
(716) 278-8111
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000879000
BLUE CROSS BLUE SHIELD CB
—
05
—
00820457
—
NY
01
—
8408706
INDEPENDENT HEALTH
—
Enumeration date
02/08/2007
Last updated
07/22/2024
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