Organization
CHAUTAUQUA COUNTY CHAPTER OF NYSARC INC.
Active
Other names
The Resource Center
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE JONES (EXECUTIVE DIRECTOR)
(716) 661-1412
Entity
Organization
Contact information
Practice address
51 E 3RD. STREET, DUNKIRK, NY 14048-2528
(716) 661-1400
Mailing address
200 DUNHAM AVE, JAMESTOWN, NY 14701-2528
(716) 661-1400
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
6069004A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03004946
—
NY
01
—
J100184027
MEDICARE PTAN
NY
Enumeration date
12/19/2006
Last updated
11/10/2015
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