PETER BOOTH

ORCHARD PARK, NY
NPI1518992304
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  11368)
Enumeration Date2006-07-11
Last Update Date2007-07-08
Business Address
-- PETER BOOTH CASAC
227 THORN AVE
ORCHARD PARK, NY 14127-2600
Phone number: 716-662-2040
Mailing Address
-- PETER BOOTH CASAC
227 THORN AVENUE PO BOX 631
ORCHARD PARK, NY 14127
Phone number: 716-662-2040
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