City Gate Life Recovery Center, Inc.

NPI #1285108746 in Buffalo, New York

Provider Information

NPI Number
1285108746
Entity Type
Organization
Organization Name
City Gate Life Recovery Center, Inc.
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jan 17, 2019
Last Updated
Jan 17, 2019

Practice Location

Address
610 ASHLAND AVE
ZIP Code
14222-1309
Phone
(716) 510-5801

Authorized Official

Name
CAROL CONKLIN
Title
OWNER
Phone
(716) 883-7713

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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