Organization
COUNTY OF NIAGARA
Active
Other names
Niagara County Adult Mental Health Clinic Niagara Falls
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA KELEMAN (DIRECT OF MENTAL HEALTH)
(716) 439-7410
Entity
Organization
Contact information
Practice address
1001 ELEVENTH STREET, TROTT ACCESS CENTER, NIAGARA FALLS, NV 14301
(716) 278-1940
(716) 278-1943
Mailing address
1001 ELEVENTH STREET, ROOM 2021 TROTT ACCESS CENTER, NIAGARA FALLS, NV 14301
(716) 278-1940
(716) 278-1943
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000512086003
BLUE CROSS BLUE SHIELD CB
—
05
—
00618777
—
NY
01
—
6308704
INDEPENDENT HEALTH
—
Enumeration date
01/12/2007
Last updated
07/22/2024
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