Organization
LIBERTY RESOURCES, INC.
Active
Organization
LIBERTY RESOURCES, INC.
Active
Parent organization
LIBERTY RESOURCES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIBERTY RESOURCES, INC.
Authorized official
KELLI HARRIS (CFO)
(315) 425-1004
Entity
Organization
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 472-4471
Mailing address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 425-1004
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02994810
—
NY
Enumeration date
09/13/2019
Last updated
09/13/2019
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