OrganizationActive
Office of Mental Health
NPI 1699170613 · Mental Illness Intermediate Care Facility · Buffalo, NY
Provider details
- NPI number
- 1699170613
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Katrina Okperhie, Cmhn(716) 816-2960
- License
- 22680061 (NY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
400 Forest Ave
Buffalo, NY 14213-1207
Phone: (716) 816-2445
Approximate (ZIP-level) locationGet directions
Mailing address
400 Forest Ave
Buffalo, NY 14213-1207
Registry dates
- Enumerated
- 2014-11-03
- Last updated
- 2014-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.