Baker Victory Services
NPI #1083867204 in Lackawanna, New York
Provider Information
- NPI Number
- 1083867204
- Entity Type
- Organization
- Organization Name
- Baker Victory Services
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Oct 31, 2008
- Last Updated
- Oct 31, 2008
Practice Location
- Address
- 790 RIDGE RD
- City
- Lackawanna
- State
- New York
- ZIP Code
- 14218-1629
- Phone
- (716) 828-9811
Authorized Official
- Name
- DR. MICHAEL EDBAUER, D.O.
- Title
- MEDICAL DIRECTOR
- Phone
- (716) 828-9357
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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