Organization
COUNTY OF NIAGARA
Active
Parent organization
NIAGARA COUNTY
Other names
Niagara County Department of Mental Health Lockport
Organization subpart
Yes
Provider details
NPI number
Legal business name
NIAGARA COUNTY
Authorized official
LAURA KELEMAN (DIRECTOR OF MENTAL HEALTH)
(716) 439-7410
Entity
Organization
Contact information
Practice address
5467 UPPER MOUNTAIN ROAD, LOCKPORT, NY 14094-1895
(716) 439-7410
(716) 439-7410
Mailing address
5467 UPPER MOUNTAIN RD, SUITE 200, LOCKPORT, NY 14094-1854
(716) 439-7410
(716) 439-7418
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000512086001
BLUE CROSS BLUE SHIELD DB
—
05
—
00618786
—
NY
01
—
6308704
INDPENDENT HEALTH
—
Enumeration date
01/31/2007
Last updated
07/22/2024
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