Organization
RECOVERY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANITA STOUDYMIRE M.A., CASAC (EXECUTIVE DIRECTOR)
(315) 255-3559
Entity
Organization
Contact information
Practice address
188 GENESEE ST, SUITE 104, AUBURN, NY 13021-3324
(315) 255-3559
(315) 255-3823
Mailing address
188 GENESEE ST, SUITE 104, AUBURN, NY 13021-3324
(315) 255-3559
(315) 255-3823
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02588416
—
NY
01
—
44290
BLUE CROSS EXCELLUS
NY
05
—
47830
—
NY
Enumeration date
02/07/2007
Last updated
06/13/2011
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