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St Regis Mohawk Tribe
Substance Abuse Rehabilitation Facility in Akwesasne, New York
NPI 1659521052

St Regis Mohawk Tribe is a Substance Abuse Rehabilitation Facility based in Akwesasne, NY. St Regis Mohawk Tribe practices in Akwesasne, NY. The NPI Number for St Regis Mohawk Tribe is 1659521052 and holds a License No. 111211393 (New York).

The current practice location address for St Regis Mohawk Tribe is 412 State Route 37, Akwesasne, NY and can be reached out via phone at 518-358-3141 and via fax at 518-358-2797.

Location: 412 State Route 37, Akwesasne, NY, 13655-3109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659521052
Provider Name
St Regis Mohawk Tribe
Credential
Provider Entity Type
Organization
Address
412 State Route 37, Akwesasne, NY, 13655-3109
Phone Number
518-358-3141
Fax Number
518-358-2797
Provider Enumeration Date
09/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
111211393 01 NY OPERATING CERTIFICATE
01178234 05 NY
institution
Provider Business Practice Location Address Details
Address
412 State Route 37
City
Akwesasne
State
New York
Zip
13655-3109
Phone Number
518-358-3141
Fax Number
518-358-2797
person
Provider Business Mailing Address Details
Address
412 State Route 37
City
Akwesasne
State
New York
Zip
13655-3109
Phone Number
518-358-3141
Fax Number
518-358-2797
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
111211393 (New York)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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