| Credo Community Center For The Treatment Of Addictions | |
|
595 W Main St Watertown NY 13601 | |
| (315) 788-1530 | |
| (315) 788-3794 |
| Full Name | Credo Community Center For The Treatment Of Addictions |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 595 W Main St, Watertown, New York |
| Authorized Official Name and Position | James Scordo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3157881530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Credo Community Center For The Treatment Of Addictions 595 W Main St Watertown NY 13601-1335 Ph: (315) 788-1530 | Credo Community Center For The Treatment Of Addictions 595 W Main St Watertown NY 13601 Ph: (315) 788-1530 |
| NPI Number | 1760630073 |
|---|---|
| Provider Enumeration Date | 08/29/2008 |
| Last Update Date | 08/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760630073 | NPI | - | NPPES |
| 02921011 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 090310744 (New York) | Primary |
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