Council On Alcoholism & Drug Abuse Of Sullivan County

NPI 1164778460 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1164778460
Enumeration Date 07/24/2012
Last Updated 07/24/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name IZETTA IZETTA
Position CHIEF EXECUTIVE OFFICER
Phone (845) 794-8080
Fax (845) 791-1716
Practice Location
11 HAMILTON AVE
MONTICELLO NY, 12701-1319, US
Phone (845) 794-8080
Fax (845) 791-1716
Business Location
11 HAMILTON AVE
MONTICELLO NY, 12701-1319, US
Phone (845) 794-8080
Fax (845) 791-1716
Toxanomy
Taxonomy Code 324500000X
License State New York
License Number 1437238706
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According to our database, Council On Alcoholism & Drug Abuse Of Sullivan County NPI is 1164778460, taxonomy code is 324500000X and license number is 1437238706, license state is located at New York. Council On Alcoholism & Drug Abuse Of Sullivan County physically located at 11 Hamilton Ave, Monticello NY, 12701-1319. NPI Number 1033115704 has the healthcare provider type.

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1164778460 NPI number is provided on an as is basis without warranty of any kind. 1164778460 is maintained by the National Plan & Provider Enumeration System. The contents of Council On Alcoholism & Drug Abuse Of Sullivan County are for informational purposes only.