NPI 1003348939

Start Where You Stand, INC.

Organisation Children's Substance Abuse Rehabilitation Facility South Ozone Park, NY

Practice location

Address: 14502 123rd Ave Private, South Ozone Park, NY 11436-1618
Phone: (718) 764-9742
Mailing address: 14502 123rd Ave, South Ozone Park, NY 11436-1618

Authorised official

Name: Krystal Avis Black
Title: Executive Director of Operations
Phone: (718) 764-9742

Registered specialties

Children's Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 3245S0500X Licence 25853 (NY)

Other Substance Abuse Rehabilitation Facility providers in New York →

Registry record

NPI: 1003348939
Entity type: Organization
NPI issued: 30 Mar 2017
Record last updated: 30 Mar 2017

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.