| NPI | 1609931443 |
|---|---|
| Other Name | ST. MARY'S CAMPUS 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 | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 273Y00000X Rehabilitation Unit | |
| 282N00000X General Acute Care Hospital | |
| 283X00000X Rehabilitation Hospital (Licence: NY 074304-1) | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2023-05-24 |