1. Home
  2. Directory
  3. New York
  4. Evans Mills
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

CREDO COMMUNITY CENTER FOR THE TREATMENT OF ADDICTIONS
NPI 1740695568
Substance Abuse Rehabilitation Facility in Evans Mills, NY

Active since July 01, 2014
24180 COUNTY ROUTE 16, EVANS MILLS, NY 13637(315) 788-1530(315) 788-3794 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Credo Community Center For The Treatment Of Addictions NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREDO COMMUNITY CENTER FOR THE TREATMENT OF ADDICTIONS (NPI 1740695568) is a healthcare organization registered as a substance abuse rehabilitation facility in Evans Mills, New York and active in the NPI registry since July 2014. The organization lists James P Scordo, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1740695568
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCREDO COMMUNITY CENTER FOR THE TREATMENT OF ADDICTIONS
Location Address24180 COUNTY ROUTE 16Evans Mills, NY 13637-3127
Mailing Address595 W Main StWatertown, NY 13601-1335 · (315) 788-1530 · Fax (315) 788-3794
Phone(315) 788-1530
Fax(315) 788-3794
Organization SubpartNo
Authorized OfficialJames P ScordoExecutive Director · (315) 788-1530
Enumeration DateJuly 1, 2014
✔ NPI 1740695568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in NY · 141011632
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.
24180 COUNTY ROUTE 16, Evans Mills, NY 13637
Open in Google Maps ↗

Other Identifiers 1

Medicaid02996752NY

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARA STANLEY RN
Registered Nurse
24180 COUNTY ROUTE 16
EVANS MILLS, NY 13637
Jefferson County (315) 629-4441
KRISTIN SANDERS LMSW
Social Worker
24180 COUNTY ROUTE 16
EVANS MILLS, NY 13637
Jefferson County (315) 629-4441
BRITTNEY ANN MARIE SKOTNISKI LMSW
Social Worker
24180 COUNTY ROUTE 16
EVANS MILLS, NY 13637
Jefferson County (315) 629-4441
JENNIFER LACHENAUER CASAC
Counselor (Addiction (Substance Use Disorder))
24180 COUNTY ROUTE 16
EVANS MILLS, NY 13637
Jefferson County (315) 629-4441
CHRISTINE MASSEY CASAC
Counselor (Addiction (Substance Use Disorder))
24180 COUNTY ROUTE 16
EVANS MILLS, NY 13637
Jefferson County (315) 629-4441
JOHN WILSON CASAC
Counselor (Addiction (Substance Use Disorder))
24180 COUNTY ROUTE 16
EVANS MILLS, NY 13637
Jefferson County (315) 629-4441
LLOYD MITCHELL
Counselor (Addiction (Substance Use Disorder))
24180 COUNTY ROUTE 16
EVANS MILLS, NY 13637
Jefferson County (315) 788-1530
MARK TRIMM
Counselor (Addiction (Substance Use Disorder))
24180 COUNTY ROUTE 16
EVANS MILLS, NY 13637
Jefferson County (315) 629-4441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Credo Community Center For The Treatment Of Addictions's NPI number?

The NPI number for Credo Community Center For The Treatment Of Addictions is 1740695568. It was assigned to this organization in the NPPES registry on July 1, 2014.

Where is Credo Community Center For The Treatment Of Addictions located?

Credo Community Center For The Treatment Of Addictions is located at 24180 County Route 16, Evans Mills, NY 13637. The listed phone number is (315) 788-1530.

What is Credo Community Center For The Treatment Of Addictions's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Credo Community Center For The Treatment Of Addictions was last updated on July 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.