| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 34 N Main St, Warsaw, New York |
| Authorized Official Name and Position | Bruce Nisbet (PRESIDENT / CEO) |
| Authorized Official Contact | 7166622040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
227 Thorn Ave Box 631 Orchard Park NY 14127-2600 Ph: (716) 662-2040 | 34 N Main St Warsaw NY 14569-1326 Ph: (585) 786-0220 |
| NPI Number | 1982908117 |
|---|---|
| Provider Enumeration Date | 01/03/2011 |
| Last Update Date | 07/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982908117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Mashell A. Schell, Lcsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 420 N Main St, Warsaw, NY 14569 Phone: 585-616-3366 Fax: 585-757-2463 | |
Mark Varallo Md Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 400 N Main St, Warsaw, NY 14569 Phone: 585-786-2233 Fax: 585-786-1203 | |
Wyoming County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Main St, Warsaw, NY 14569 Phone: 585-786-1555 |