Alcohol & Drug Dependency Services, Inc.

Organization Active NPI Substance Abuse Rehabilitation Facility · Buffalo, NY

NPI 1396863445 · NPPES record last updated Aug 17, 2018

Key facts

NPI
1396863445
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
Legal business name
ALCOHOL & DRUG DEPENDENCY SERVICES, INC.
Practice address
291 Elm St
Buffalo, NY 14203
Phone
(716) 854-2977
Fax
(716) 854-3293
NPI assigned
Mar 27, 2007
Organization subpart
No

Authorized official

Name
Mrs. Karen F. Hardick, CPA
Title
Chief Financial Officer
Phone
(716) 854-2997

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 090411448 NY
Substance Abuse Rehabilitation Facility 324500000X 050410478 NY
Substance Abuse Rehabilitation Facility 324500000X 070610167 NY
Substance Abuse Rehabilitation Facility 324500000X 061110163 NY
Substance Abuse Rehabilitation Facility 324500000X 070410164 NY
Substance Abuse Rehabilitation Facility 324500000X 080410651 NY
Substance Abuse Rehabilitation Facility 324500000X 070910477 NY
Substance Abuse Rehabilitation Facility 324500000X 080111248 NY
Substance Abuse Rehabilitation Facility 324500000X 08045448 NY
Substance Abuse Rehabilitation Facility 324500000X 070410478 NY
Substance Abuse Rehabilitation Facility 324500000X Yes

Addresses

Primary practice location

291 Elm St
Buffalo, NY 14203

Mailing address

291 Elm Street
Buffalo, NY 14203
Phone (716) 854-2977

Other identifiers

IdentifierTypeStateIssuer
00-689-703MedicaidNY
000000818000OtherNYBLUE CROSS & BLUE SHIELD
8406733OtherNYINDEPENDENT HEALTH-IHA
00011265201OtherNYUNIVERA
075003-000OtherNYMBC- GREEN SPRINGS
075003-000OtherNYMERIT BEHAVIORAL CARE-CMG
075003-000OtherNYMBC-MEGELLIN

Other providers in Buffalo, NY

All providers in Buffalo, NY · Substance Abuse Rehabilitation Facility in New York

Sources for this page

Verify at the official NPI Registry.