Organization · Type 2 NPI

Creedmoor Addiction Treatment Center

Community/Behavioral Health Agency · Queens Village, NY

NPI number 1619059052 Active

Practice location

80 45 Winchester Boulevard, Building 19 Cbu 15
Queens Village, NY 11427

Fax (718) 776-5145

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1619059052

Creedmoor Addiction Treatment Center's National Provider Identifier is 1619059052, issued on Oct 19, 2006. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Queens Village, NY. The record was last updated on Aug 22, 2020.