Organization
IRECTORHUDSON MOHAWK RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS BENDON CASAC (DIRECTOR)
(518) 272-3918
Entity
Organization
Contact information
Practice address
1724 5TH AVE, TROY, NY 12180-3320
(518) 272-3918
(518) 272-6391
Mailing address
1724 5TH AVE, TROY, NY 12180-3320
(518) 272-3918
(518) 272-6391
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
130510570
NY
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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