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Organization

ERIE COUNTY SOUTHEAST CORP V

Active
Other names
Spectrum Human Services
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE C. NISBET (PRESIDENT./CEO)
(716) 662-2040
Entity
Organization

Contact information

Practice address
505 DELAWARE AVE, BUFFALO, NY 14202-1309
(716) 662-2040
(716) 662-0019
Mailing address
BOX 631, 227 THORN AVENUE, ORCHARD PARK, NY 14202
(716) 662-2040
(716) 662-0019

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/06/2012
Last updated
07/19/2016
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