Whalio Doctors

NPI 1104295237

Boys on the Right Track

Organisation Voluntary or Charitable Agency Lake View, NY

Practice location

Address
1597 Evergreen Dr, Lake View, NY 14085-9567
Phone
(716) 316-1789

Authorised official

Name
Juliet Meade
Title
Executive Director
Phone
(716) 316-1789

Registered specialties

Voluntary or Charitable Agency Primary
Agencies Taxonomy 251V00000X Licence 251V00000X (NY)

Registry record

NPI
1104295237
Entity type
Organization
NPI issued
18 Sep 2015
Record last updated
18 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.