| NPI | 1497701106 |
|---|---|
| Other Name | ST. PETER'S ADDICTION RECOVERY CENTER |
| Other Name | ST PETER'S HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | COURTNEY KNOWLES Credentialing & Enrollment Manager 518-525-5634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 0101114H) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207R00000X Internal Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2023-05-24 |