Organization
ST JOSEPHS REHABILITATION CENTER, INC
Active
Other names
St Josephs Addiction Treatment & Recovery Centers
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY RANDOLPH (CEO)
(518) 891-3950
Entity
Organization
Contact information
Practice address
159 GLENWOOD DR, SARANAC LAKE, NY 12983-2385
(518) 891-3950
(518) 891-6134
Mailing address
159 GLENWOOD DR, SARANAC LAKE, NY 12983-2385
(518) 891-3950
(518) 891-6134
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
283X00000X
Rehabilitation Hospital
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00689758
—
NY
Enumeration date
09/11/2006
Last updated
01/31/2024
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