| Baker Victory Services | |
|
790 Ridge Road Lackawanna NY 14218-1629 | |
| (716) 828-9500 | |
| Not Available |
| Full Name | Baker Victory Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 790 Ridge Road, Lackawanna, New York |
| Authorized Official Name and Position | Laurel Parzych (CFO/COO) |
| Authorized Official Contact | 7168289751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baker Victory Services 790 Ridge Road Lackawanna NY 14218-1629 Ph: () - | Baker Victory Services 790 Ridge Road Lackawanna NY 14218-1629 Ph: (716) 828-9500 |
| NPI Number | 1245352921 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245352921 | NPI | - | NPPES |
| 01101413 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Olv Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 780 Ridge Rd, Lackawanna, NY 14218 Phone: 716-828-9500 | |
Lake Shore Behavioral Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 S Park Ave, Lackawanna, NY 14218 Phone: 716-842-0440 Fax: 716-842-4069 |