Whalio Doctors

NPI 1376899336

Covenant Human Services Wny

Organisation Substance Abuse Rehabilitation Facility Buffalo, NY

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
Residential Treatment Facilities Taxonomy 324500000X
Case Management Agency
Agencies Taxonomy 251B00000X

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.