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Organization

SPARC

Active
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Organization

SPARC

Active
Parent organization
ST PETERS HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST PETERS HOSPITAL
Authorized official
STEVE BOYLE (CEO)
(515) 525-1550
Entity
Organization

Contact information

Practice address
845 CENTRAL AVE, ALBANY, NY 12206-1514
(518) 482-2455
Mailing address
845 CENTRAL AVE, ALBANY, NY 12206-1514

Taxonomy

Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary

Other

Enumeration date
10/12/2007
Last updated
10/12/2007
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