Organization
COUNCIL ON ADDICTION RECOVERY SERVICES, INC.
Active
Parent organization
COUNCIL ON ADDICTION RECOVERY SERVICES, INC.
Other names
Willow House
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNCIL ON ADDICTION RECOVERY SERVICES, INC.
Authorized official
M'LISSA MARIE SUGDEN RHIA (EXC ADMIN ASST/COMPLIANCE)
(716) 373-4303
Entity
Organization
Contact information
Practice address
1355 OLEAN-PORTVILLE ROAD, WESTONS MILLS, NY 14788-1476
(716) 373-0021
(716) 373-1719
Mailing address
PO BOX 567, OLEAN, NY 14760-0567
(716) 373-4303
(716) 373-4327
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06254773
—
NY
Enumeration date
02/05/2020
Last updated
08/05/2021
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