Organization
ST. PETERS ADDICTION RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM BENDON (PROGRAM MANAGER)
(518) 783-5381
Entity
Organization
Contact information
Practice address
636 NEW LOUDON RD, LATHAM, NY 12110-4002
(518) 783-5381
(518) 783-0125
Mailing address
636 NEW LOUDON RD, LATHAM, NY 12110-4002
(518) 783-5381
(518) 783-0125
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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