Organization
GAY AND LESBIAN YOUTH SERVICES OF WNY
Active
Other names
GLYS Western New York, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ROUSH PHD (EXECUTIVE DIRECTOR/CEO)
(716) 855-0221
Entity
Organization
Contact information
Practice address
278 DELAWARE AVE, BUFFALO, NY 14202-1801
(716) 855-0221
Mailing address
278 DELAWARE AVE, BUFFALO, NY 14202-1801
(716) 855-0221
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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