NPI 1992786859

US Army

Organisation Substance Use Disorder Rehabilitation Hospital Unit Fort Drum, NY

Practice location

Address: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438
Phone: (315) 772-8801
Fax: (315) 772-4097

Authorised official

Name: Michael Charles Borg
Title: Psychologist
Phone: (315) 772-8801

Registered specialties

Substance Use Disorder Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 276400000X Licence ICAADC 952 (ID)

Other Rehabilitation, Substance Use Disorder Unit providers in New York →

Registry record

NPI: 1992786859
Entity type: Organization
NPI issued: 8 Nov 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.