Organization · Type 2 NPI
Brooks - TLC Hospital System, Inc.
Substance Use Disorder Rehabilitation Clinic/Center · Derby, NY
NPI number
1225654494
Active
Practice location
7020 Erie Road
Derby, NY 14047
Mailing address
529 Central Ave
Dunkirk, NY 14048-2514
Other practice locations
- 33 N. Main Street, Cassadaga, NY 14718-9600 · (716) 595-3355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1225654494
Brooks - TLC Hospital System, Inc.'s National Provider Identifier is 1225654494, issued on Jun 23, 2020. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Derby, NY. The record was last updated on Jun 8, 2021.