Organization
THE ADDICTIONS CARE CENTER OF ALBANY, INC
Active
Other names
Albany Citizens Council on Alcoholism and Other Chemical Dependencies,
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH W STACK (EXECUTIVE DIRECTOR)
(518) 465-5470
Entity
Organization
Contact information
Practice address
1044 BROADWAY, ALBANY, NY 12204
(518) 434-2367
(518) 434-2372
Mailing address
90 MCCARTY AVENUE, ADMINISTRATION-BLDG 1, ALBANY, NY 12202-1151
(518) 465-5470
(518) 427-0854
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01034239
—
NY
01
—
040401001994
FIDELIS
NY
01
—
10056185
CDPHP / SPBHM
NY
01
—
1056910
WELLCARE
NY
01
—
110056185001
CDPHP
NY
01
—
142863
VALUEOPTIONS
NY
01
—
341553
MVP
NY
Enumeration date
05/17/2006
Last updated
10/06/2020
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