| Community Visions, Llc | |
|
103 Princeton Blvd Kenmore NY 14217-1736 | |
| (716) 897-9861 | |
| Not Available |
| Full Name | Community Visions, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 103 Princeton Blvd, Kenmore, New York |
| Authorized Official Name and Position | Susan Andersen-strait (CEO) |
| Authorized Official Contact | 7165976989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Visions, Llc 103 Princeton Blvd Kenmore NY 14217-1736 Ph: (716) 897-9861 | Community Visions, Llc 103 Princeton Blvd Kenmore NY 14217-1736 Ph: (716) 897-9861 |
| NPI Number | 1073072682 |
|---|---|
| Provider Enumeration Date | 03/14/2019 |
| Last Update Date | 03/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073072682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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