Organization · Type 2 NPI

Catholic Charities of Orange, Sullivan & Ulster

Substance Use Disorder Rehabilitation Clinic/Center · Goshen, NY

NPI number 1093875007 Active

Practice location

27 Matthews Street
Goshen, NY 10924

Call (845) 294-5124 Map

Fax (845) 294-1369

Other practice locations

396 Broadway, Monticello, NY 12701-1157 · (845) 794-8080
280 Broadway Lowr Level, Newburgh, NY 12550-5408 · (845) 562-8255
101 Carpenter Pl, Monroe, NY 10950-3592 · (845) 782-0295
150 Pike St, Port Jervis, NY 12771-1867 · (845) 856-6344
8 Scofield St, Walden, NY 12586-1710 · (845) 778-5628
305 North St, Middletown, NY 10940-4704 · (845) 343-7675
17 Hamilton Ave, Monticello, NY 12701-1319 · (845) 794-8080

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	070111579 (NY)
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

NPI record

NPI: 1093875007
Entity type: Organization (Type 2)
Issued: Dec 11, 2006
Last updated: Jun 2, 2025
Status: Active

Other names

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Catholic Charities Community Services of Orange County · former legal business name

Authorized official

Shannon Kelly
Chief Executive Officer
(845) 294-5124

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093875007

Catholic Charities of Orange, Sullivan & Ulster's National Provider Identifier is 1093875007, issued on Dec 11, 2006. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Goshen, NY. The record was last updated on Jun 2, 2025.