Organization
ST.CHRISTOPHER'S INN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CAMPIONE (CHIEF FINANCIAL OFFICER)
(845) 335-1006
Entity
Organization
Contact information
Practice address
21 FRANCISCAN WAY, GARRISON, NY 10524-0150
(845) 335-1000
(845) 335-1017
Mailing address
PO BOX 150, RT 9 GRAYMOOR, GARRISON, NY 10524-0150
(845) 335-1000
(845) 335-1017
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
3953200R
NY
324500000X
Substance Abuse Rehabilitation Facility
Primary
02125430
NY
324500000X
Substance Abuse Rehabilitation Facility
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01638375
—
NY
Enumeration date
07/14/2006
Last updated
04/03/2015
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