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Lord Admoz, CASAC-T
Substance Abuse Rehabilitation Facility in Sanborn, New York
NPI 1285774885

Lord Admoz is a Substance Abuse Rehabilitation Facility based in Buffalo, NY. Lord Admoz practices in Sanborn, NY and has the professional credentials of CASAC-T. The NPI Number for Lord Admoz is 1285774885 and holds a License No. 20688 (New York).

The current practice location address for Lord Admoz is 6301 Inducon Dr E, Sanborn, NY and can be reached out via phone at 716-731-2030 and via fax at 716-731-3010.

Location: 6301 Inducon Dr E, Sanborn, NY, 14208-1006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285774885
Provider Name
Lord Admoz
Credential
CASAC-T
Provider Entity Type
Individual
Gender
Male
Address
6301 Inducon Dr E, Sanborn, NY, 14208-1006
Phone Number
716-731-2030
Fax Number
716-731-3010
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20688 01 NY CASAC - T
institution
Provider Business Practice Location Address Details
Address
6301 Inducon Dr E
City
Sanborn
State
New York
Zip
14132-9014
Phone Number
716-731-2030
Fax Number
716-731-3010
person
Provider Business Mailing Address Details
Address
6301 Inducon Dr E
City
Sanborn
State
New York
Zip
14132-9014
Phone Number
716-731-2030
Fax Number
716-731-3010
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
20688 (New York)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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