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Chemical Dependence Facility Inspection Report: Details
Chemical Dependence Facility Inspection Report: Details
Date of Last Inspection Date of This Inspection Certificate of Occupancy or documentation of approval Basement: Yes No
from appropriate regulatory authority: Number of Floors in Building:
Type of Inspection: Routine Certification Capital Construction Total Square Footage
The Provider m ust submit a w ritten corrective action plan (CAP) including a copy of this inspection, within 15 da ys to the Of fice of Alcoholism and
Substance Abuse Services, ATTENTION: Facilities Evaluation and Inspection Unit Manager, 1450 Western Avenue, Albany, New York 12203-3526.
A copy of your Inspection & CAP must also be submitted to the Local Governmental Unit representative, where applicable.
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