Organization
COVENANT HUMAN SERVICES WNY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY YOLANDA HUNT BS, MS (PRESIDENT/CEO)
(716) 464-7057
Entity
Organization
Contact information
Practice address
95 WAKEFIELD AVE, BUFFALO, NY 14214-2111
(716) 464-7057
(716) 464-7057
Mailing address
95 WAKEFIELD AVE, P.O BOX 821 BUFFALO NY 14215, BUFFALO, NY 14214-2111
(716) 464-7057
(716) 464-7057
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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