Organization
THRIVE WELLNESS AND RECOVERY, INC
Active
Other names
Credo Community Center for the Treatment of Addictions Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN JONES (CFO)
(315) 782-1777
Entity
Organization
Contact information
Practice address
611 W MAIN ST, WATERTOWN, NY 13601-1337
(315) 788-1530
(315) 788-3794
Mailing address
482 BLACK RIVER PKWY, WATERTOWN, NY 13601-2416
(315) 788-1530
(315) 788-3794
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
070310744
NY
324500000X
Substance Abuse Rehabilitation Facility
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02921011
—
NY
05
—
02996752
—
NY
Enumeration date
08/03/2006
Last updated
07/30/2024
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