Organization
CAZENOVIA RECOVERY SYSTEMS, INC.
Active
Other names
Madonna House
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY HERNDON (CEO)
(716) 314-5903
Entity
Organization
Contact information
Practice address
5586 NIAGARA STREET EXT, LOCKPORT, NY 14094-1804
(716) 438-9131
(716) 438-9653
Mailing address
2495 MAIN ST STE 417, BUFFALO, NY 14214-2152
(716) 852-4331
(716) 852-4533
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
161211951
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03A3488
NY DOH
NY
05
—
04591168
—
NY
01
—
241112051
NY OASAS
NY
Enumeration date
12/21/2015
Last updated
05/23/2023
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