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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