Organization
COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF SULLIVAN CO., INC.
Active
Other names
Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IZETTA BRIGGS-BOLLING (CHIEF EXECUTIVE OFFICER)
(845) 794-8080
Entity
Organization
Contact information
Practice address
17 HAMILTON AVE, MONTICELLO, NY 12701-1319
(845) 794-8080
(845) 794-8343
Mailing address
11 HAMILTON AVE, MONTICELLO, NY 12701-1319
(845) 794-8080
(845) 791-1716
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02527026
—
NY
01
—
12676
BEACON HEALTH STRATEGIES
NY
01
—
190343
MAGELLEN HEALTH SERVICE
NY
01
—
992155
MVP HEALTH CARE
NY
01
—
A469242
OXFORD HEALTH CARE
NY
Enumeration date
11/06/2006
Last updated
08/26/2014
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