Organization
NEW FRONTIERS IN TBI INC
Active
Other names
Allwel
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER REDDING (CEO)
(716) 826-6245
Entity
Organization
Contact information
Practice address
2556 DELAWARE AVE, BUFFALO, NY 14216
(716) 826-2645
(716) 826-6083
Mailing address
2556 DELAWARE AVE, BUFFALO, NY 14216
(716) 826-2645
(716) 826-6083
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
1543L001
NY
251E00000X
Home Health Agency
Primary
1543L001
NY
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02065245
—
NY
05
—
03679334
—
NY
05
—
07375253
—
NY
Enumeration date
01/26/2012
Last updated
06/05/2024
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