Provider Demographics
NPI:1184996563
Name:CHAUTAUQUA COUNTY CASA - DSS
Entity type:Organization
Organization Name:CHAUTAUQUA COUNTY CASA - DSS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMISSIONER OF HUMAN SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUYLER
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, MHA
Authorized Official - Phone:716-753-4590
Mailing Address - Street 1:7 N ERIE ST. HRC
Mailing Address - Street 2:
Mailing Address - City:MAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14757-1090
Mailing Address - Country:US
Mailing Address - Phone:716-753-4447
Mailing Address - Fax:716-753-4692
Practice Address - Street 1:7 N ERIE ST FL 3
Practice Address - Street 2:
Practice Address - City:MAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:14757-1095
Practice Address - Country:US
Practice Address - Phone:716-753-4447
Practice Address - Fax:716-753-4692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0622200R251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare