Organization
CAZENOVIA RECOVERY SYSTEMS, INC.
Active
Other names
Casa Di Vita
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY HERNDON (CEO)
(716) 314-5903
Entity
Organization
Contact information
Practice address
200 ALBANY ST, BUFFALO, NY 14213-1801
(716) 882-2108
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03A3070
NYS DOH NUMBER
NY
05
—
07117926
—
NY
01
—
220912282
NY OASAS
NY
Enumeration date
08/12/2014
Last updated
05/23/2023
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