Organization
SOUTHERN TIER ENVIRONMENTS FOR LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J. WHITNEY (EXECUTIVE DIRECTOR)
(716) 366-3200
Entity
Organization
Contact information
Practice address
715 CENTRAL AVE, DUNKIRK, NY 14048-2504
(716) 366-3200
Mailing address
715 CENTRAL AVE, DUNKIRK, NY 14048-2504
(716) 366-3200
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01303906
—
NY
Enumeration date
07/29/2008
Last updated
07/29/2008
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