Organization
ST. PETER'S ADDICTION AND RECOVERY CENTER
Active
Organization
ST. PETER'S ADDICTION AND RECOVERY CENTER
Active
Parent organization
ST. PETER'S HEALTH PARTNERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. PETER'S HEALTH PARTNERS
Authorized official
PATRICK CARESE (CEO OF SPARC OUTPATIENT)
(518) 452-6700
Entity
Organization
Contact information
Practice address
845 CENTRAL AVE, ALBANY, NY 12206-1514
(518) 482-2455
Mailing address
845 CENTRAL AVE, ALBANY, NY 12206-1514
(518) 482-2455
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
139696387
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139696387
NPI
NY
Enumeration date
04/20/2015
Last updated
04/20/2015
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