Credo Community Center For The Treatment Of Addictions Inc

LBN: Credo Community Center For Treatment Of Addictions Inc
Credo Community Center For The Treatment Of Addictions Inc is an health care organization with primary practice located at 595 W Main St , Watertown NY 13601-1335. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Credo Community Center For Treatment Of Addictions Inc can be contacted via phone (315) 788-1530, or through Wilson, John via phone (315) 788-1530.

Contact Information

Primary practice address
595 W Main St Watertown NY 13601-1335
Phone: (315) 788-1530
Fax: (315) 788-3794
Website:
Map and Directions
Authorized official contact:
Name: Wilson, John Bachelor of Arts (BA)
Phone: (315) 788-1530

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 070310744 New York
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X New York

Profile Details

NPI number 1659389021
LBN Legal business name Credo Community Center For Treatment Of Addictions Inc
DBA Doing business as Credo Community Center For The Treatment Of Addictions Inc
Authorized official Wilson, John Bachelor of Arts (BA)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Jun 25th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659389021 NPPES
New York MEDICAID 02921011

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