NPI 1376899336
Covenant Human Services Wny
Practice location
- Address
- 95 Wakefield Ave, Buffalo, NY 14214-2111
- Phone
- (716) 464-7057
- Fax
- (716) 464-7057
- Mailing address
- 95 Wakefield Ave P.O Box 821 Buffalo Ny 14215, Buffalo, NY 14214-2111
Authorised official
- Name
- Tracy Yolanda Hunt
- Title
- President/Ceo
- Phone
- (716) 464-7057
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Case Management Agency
Registry record
- NPI
- 1376899336
- Entity type
- Organization
- NPI issued
- 27 Jul 2012
- Record last updated
- 27 Jul 2012
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.