Organization
CROUSE HEALTH INC.
Active
Parent organization
CROUSE HEALTH HOSPITAL
Other names
Commonwealth Place
Organization subpart
Yes
Provider details
NPI number
Legal business name
CROUSE HEALTH HOSPITAL
Authorized official
MRS. KIMBERLY BOYNTON (CFO)
(315) 470-7376
Entity
Organization
Contact information
Practice address
6010 E MOLLOY RD, SYRACUSE, NY 13211-2131
(315) 470-2470
Mailing address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-2470
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
04105361
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01158709
—
NY
Enumeration date
07/17/2006
Last updated
06/18/2008
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