NPI 1053858100

Samaritan Daytop Village

Organisation Substance Abuse Rehabilitation Facility Ny, NY

Practice location

Address: 119 W 160th St, Ny, NY 10025
Phone: (718) 206-2000
Fax: (718) 206-4055
Mailing address: 13802 Queens Blvd, Briarwood, NY 11435-2642

Authorised official

Name: James Hollywood
Title: Vp, Residential Treatment
Phone: (718) 206-2000

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 161211828 (NY)

Other Substance Abuse Rehabilitation Facility providers in New York →

Registry record

NPI: 1053858100
Entity type: Organization
NPI issued: 27 Jan 2017
Record last updated: 27 Jan 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.