Erie County South East Corp V
Organization Active NPI Community/Behavioral Health Agency · Warsaw, NY
NPI 1467775981 · NPPES record last updated Jul 19, 2016
Key facts
- NPI
- 1467775981
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 6845022A (NY)
- Legal business name
- ERIE COUNTY SOUTH EAST CORP V
- Practice address
- 34 N Main St
Warsaw, NY 14569-1326 - Phone
- (585) 786-0220
- Fax
- (585) 786-3631
- NPI assigned
- Mar 11, 2010
- Organization subpart
- No
Authorized official
- Name
- Bruce C. Nisbet, MSW
- Title
- President/Ceo
- Phone
- (716) 539-5329
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- Mental Health Services of Erie County Secv
Locations
34 N Main St
Warsaw, NY 14569
Phone (585) 786-0220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6845022A | NY | Yes |
Addresses
Primary practice location
34 N Main St
Warsaw, NY 14569-1326
Mailing address
227 Thorn Avenue
Box 631
Orchard Park, NY 14127
Phone (716) 662-2040
Other names
- Spectrum Human Services
Other providers in Warsaw, NY
- Eastside Opco LLC
- Colleen Louise Eccleston
- Thomas Michael Edwards
- Sofia Elbaamrani
- Erie County South East Corp V
- Erie County South East Corp V
- Fa Surgical PLLC
- Tracy Fabian
- Kristen McDonald Felix
- Amy Fialkowski
All providers in Warsaw, NY · Community/Behavioral Health Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.