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NPI Code Detail

MEDICARE: DELPHI DRUG & ALCOHOL COUNCIL, INC

MEDICARE: DELPHI DRUG & ALCOHOL COUNCIL, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center081111260NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013130012
Entity Type Code : Organization
Provider Name (Legal Business Name) : DELPHI DRUG & ALCOHOL COUNCIL, INC
Provider Business Mailing Address
First Line : 72 HINCHEY RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14624-2930
Country : US
Telephone Number : 585-467-2230
Fax Number : 585-730-6110
Provider Business Practice Location Address
First Line : 72 HINCHEY RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14624-2930
Country : US
Telephone Number : 585-467-2230
Fax Number : 585-730-6110
Authorized Official
Title or Position : CONTROLLER
Name : JULIA WITTIG
Credential :
Telephone Number : 585-467-2230
Provider Enumeration Date : 04/10/2007
Last Update Date : 09/13/2022

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