| Council On Alcoholism And Drug Abuse Of Sullivan Co., Inc. | |
|
17 Hamilton Ave Monticello NY 12701-1319 | |
| (845) 794-8080 | |
| (845) 794-8343 |
| Full Name | Council On Alcoholism And Drug Abuse Of Sullivan Co., Inc. |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 17 Hamilton Ave, Monticello, New York |
| Authorized Official Name and Position | Izetta Briggs-bolling (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8457948080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Council On Alcoholism And Drug Abuse Of Sullivan Co., Inc. 11 Hamilton Ave Monticello NY 12701-1319 Ph: (845) 794-8080 | Council On Alcoholism And Drug Abuse Of Sullivan Co., Inc. 17 Hamilton Ave Monticello NY 12701-1319 Ph: (845) 794-8080 |
| NPI Number | 1437238706 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437238706 | NPI | - | NPPES |
| 190343 | Other | NY | MAGELLEN HEALTH SERVICE |
| 02527026 | Medicaid | NY | |
| 12676 | Other | NY | BEACON HEALTH STRATEGIES |
| A469242 | Other | NY | OXFORD HEALTH CARE |
| 992155 | Other | NY | MVP HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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