Provider Demographics
NPI:1437221355
Name:ALCOHOLISM AND SUBSTANCE ABUSE COUNCIL OF SCHENECTADY COUNTY, INC
Entity Type:Organization
Organization Name:ALCOHOLISM AND SUBSTANCE ABUSE COUNCIL OF SCHENECTADY COUNTY, INC
Other - Org Name:NEW CHOICES RECOVERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:COMBS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R, CASAC-MC
Authorized Official - Phone:518-346-4436
Mailing Address - Street 1:728 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12307-1206
Mailing Address - Country:US
Mailing Address - Phone:518-346-4436
Mailing Address - Fax:518-346-3522
Practice Address - Street 1:728 STATE ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12307-1206
Practice Address - Country:US
Practice Address - Phone:518-346-4436
Practice Address - Fax:518-346-3522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY080210589261QR0401X
261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY-10450-MOtherSAMHSA
NY00595799Medicaid