NPI | 1659389021 |
---|---|
Other Name | CREDO COMMUNITY CENTER FOR THE TREATMENT OF ADDICTIONS INC |
Entity Type | Organization |
Authorized Contact | JOHN WILSON Executive Director 315-788-1530 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 070310744) |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
261QM2800X Clinic/Center, Methadone Clinic | |
Enumeration Date | 2006-08-03 |
Last Update Date | 2020-06-25 |