Provider Demographics
NPI:1003111709
Name:THE BUFFALO CENTER FOR SOCIAL PROGRESS, INC.
Entity Type:Organization
Organization Name:THE BUFFALO CENTER FOR SOCIAL PROGRESS, INC.
Other - Org Name:BEYOND BOUNDARIES COMMUNITY BUILDING INITIATIVES, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:FOUNDER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DIMARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:716-848-0739
Mailing Address - Street 1:PO BOX 204
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-0204
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:396 NORFOLK AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-3109
Practice Address - Country:US
Practice Address - Phone:716-848-0739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management