Provider Demographics
NPI:1851160311
Name:MORLOCK FOUNDATION, INC.
Entity Type:Organization
Organization Name:MORLOCK FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMALETTA
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:ZANDI
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:716-842-1300
Mailing Address - Street 1:140 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-4424
Mailing Address - Country:US
Mailing Address - Phone:716-842-1300
Mailing Address - Fax:716-249-3388
Practice Address - Street 1:140 GENESEE ST
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-4424
Practice Address - Country:US
Practice Address - Phone:716-842-1300
Practice Address - Fax:716-249-3388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)