| NPI | 1063885788 |
|---|---|
| Other Name | ST. PETER'S ADDICTION RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | COURTNEY KNOWLES Credentialing & Enrollment Manager 518-525-5634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 251B00000X Case Management | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 282N00000X General Acute Care Hospital | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2023-05-24 |