Organization
BAKER HALL INC
Active
Other names
OLV Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREL PARZYCH (CFO/COO)
(716) 828-9751
Entity
Organization
Contact information
Practice address
150 MARTIN ROAD, LACKAWANNA, NY 14218
(716) 828-9751
Mailing address
790 RIDGE ROAD, LACKAWANNA, NY 14218-1629
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
7577040
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00824415
—
NY
Enumeration date
05/24/2007
Last updated
10/21/2021
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