Organization
MID ERIE
Active
Other names
Endeavor
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CAYLA MARIE GUADALUPE BSW (INTERN)
(716) 896-7350
Entity
Organization
Contact information
Practice address
1131 BROADWAY ST, BUFFALO, NY 14212-1501
(716) 896-7350
Mailing address
1131 BROADWAY ST, BUFFALO, NY 14212-1501
(716) 896-7350
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
02/03/2016
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