| NPI | 1659389021 |
|---|---|
| Other Name | CREDO COMMUNITY CENTER FOR THE TREATMENT OF ADDICTIONS INC |
| Entity Type | Organization |
| Authorized Contact | JORDAN JONES CFO 315-782-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: NY 070310744) |
| Additional Taxonomies | 261QM2800X Clinic/Center Methadone |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-07-30 |