| Niagara County Drug Abuse Program | |
|
1001 Eleventh Street Room 172 Trott Access Center Niagara Falls NY 14301 | |
| (716) 278-8110 | |
| (716) 278-8111 |
| Full Name | Niagara County Drug Abuse Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1001 Eleventh Street, Niagara Falls, New York |
| Authorized Official Name and Position | Laura Keleman (DEPUTY DIRECTOR) |
| Authorized Official Contact | 7164397410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Niagara County Drug Abuse Program 1001 Eleventh Street Room 172 Trott Access Center Niagara Falls NY 14301 Ph: (716) 278-8110 | Niagara County Drug Abuse Program 1001 Eleventh Street Room 172 Trott Access Center Niagara Falls NY 14301 Ph: (716) 278-8110 |
| NPI Number | 1285774083 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285774083 | NPI | - | NPPES |
| 000000879000 | Other | BLUE CROSS BLUE SHIELD CB | |
| 00820457 | Medicaid | NY | |
| 8408706 | Other | INDEPENDENT HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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