Creedmoor Addiction Treatment Center
NPI #1619059052 in Queens Village, New York
Provider Information
- NPI Number
- 1619059052
- Entity Type
- Organization
- Organization Name
- Creedmoor Addiction Treatment Center
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 19, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 80 45 WINCHESTER BOULEVARD
- Address 2
- BUILDING 19 CBU 15
- City
- Queens Village
- State
- New York
- ZIP Code
- 11427
- Phone
- (718) 264-3740
Authorized Official
- Name
- MR. MICHAEL A LAWLER
- Title
- ASSOCIATE COMMISSIONER, DIVISION OF
- Phone
- (518) 457-5312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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