Organization
COUNCIL ON ADDICTION RECOVERY SERVICES INC
Active
Parent organization
COUNCIL ON ADDICTION RECOVERY SERVICES, INC.
Other names
Wendy's House Supportive Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNCIL ON ADDICTION RECOVERY SERVICES, INC.
Authorized official
MR. MICHAEL H PRUTSMAN CPP, MA (EXECUTIVE DIRECTOR)
(716) 373-4303
Entity
Organization
Contact information
Practice address
201 S UNION ST, OLEAN, NY 14760-3646
(716) 373-4303
(716) 373-4327
Mailing address
201 S UNION ST, PO BOX 567, OLEAN, NY 14760-3646
(716) 373-4303
(716) 373-4327
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
150910172
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000816000
BLUE CROSS
NY
05
—
00933817
—
NY
01
—
030770
NYS CHARITIES REGISTRATION
NY
01
—
170809255
DUNS AND BRADSTREET
NY
01
—
38160
OASAS
NY
Enumeration date
06/26/2014
Last updated
08/05/2021
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