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Organization

ADOLESCENT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HOWARD K HITZEL (PRESIDENT)
(716) 842-0440
Entity
Organization

Contact information

Practice address
951 NIAGARA STREET, ADOLESCENT SERVICES, BUFFALO, NY 14213
(716) 819-0951
(716) 819-0952
Mailing address
254 FRANKLIN STREET, LAKE SHORE BEHAVIORAL HEALTH, BUFFALO, NY 14202
(716) 842-0440
(716) 842-4069

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/07/2009
Last updated
01/07/2009
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