Organization
OFFICE OF MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA OKPERHIE RN (CMHN)
(716) 816-2960
Entity
Organization
Contact information
Practice address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 816-2445
Mailing address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 816-2445
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
22680061
NY
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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