Organization
DICK VAN DYKE ADDICTION TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A LAWLER (ASSOCIATE COMMISSIONER DIVISION OF)
(518) 457-5312
Entity
Organization
Contact information
Practice address
1330 COUNTY ROAD 132, OVID, NY 14521
(607) 869-9500
(607) 869-5303
Mailing address
1330 COUNTY ROAD 132, OVID, NY 14521
(607) 869-9500
(607) 869-5303
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NY
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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