CREEDMOOR ADDICTION TREATMENT CENTER is a community behavioral health in Queens Village, NY. The provider is 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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CREEDMOOR ADDICTION TREATMENT CENTER NPI is 1619059052. The provider is registered as an organization entity type.
The provider's business location address is:
80 45 WINCHESTER BOULEVARD
BUILDING 19 CBU 15
QUEENS VILLAGE, NY
ZIP 11427
Phone: (718) 264-3740
Fax: (718) 776-5145
The provider's authorized official is Michael A Lawler .
The authorized official title is Associate Commissioner, Division Of and has the following contact phone number (518) 457-5312.
The CLIA number assigned to this NPI record is 33D2092565 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/19/2006 and was last updated on 8/22/2020.