Organization
COUNCIL ON ALCOHOLISM & DRUG ABUSE OF SULLIVAN COUNTY
Active
Other names
Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
IZETTA BRIGGS-BOLLING LMHC, CASAC-G (CHIEF EXECUTIVE OFFICER)
(845) 794-8080
Entity
Organization
Contact information
Practice address
11 HAMILTON AVE, MONTICELLO, NY 12701-1319
(845) 794-8080
(845) 791-1716
Mailing address
11 HAMILTON AVE, MONTICELLO, NY 12701-1319
(845) 794-8080
(845) 791-1716
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1437238706
NY
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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