Conifer Park, Inc.

NPI #1336339969 in Glenville, New York

Provider Information

NPI Number
1336339969
Entity Type
Organization
Organization Name
Conifer Park, Inc.
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Jul 30, 2007
Last Updated
Dec 23, 2021

Practice Location

Address
79 GLENRIDGE RD
Address 2
COTTAGE #1
ZIP Code
12302-4523
Phone
(518) 952-8121

Authorized Official

Name
TAMMY SMITH
Title
OP BUSINESS MANAGER
Phone
(518) 952-8408

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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