Organization
CREDO COMMUNITY CENTER FOR THE TREATMENT OF ADDICTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SCORDO (EXECUTIVE DIRECTOR)
(315) 788-1530
Entity
Organization
Contact information
Practice address
595 W MAIN ST, WATERTOWN, NY 13601
(315) 788-1530
(315) 788-3794
Mailing address
595 W MAIN ST, WATERTOWN, NY 13601-1335
(315) 788-1530
(315) 788-3794
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
090310744
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02921011
—
NY
Enumeration date
08/29/2008
Last updated
08/29/2008
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