NPI 1063806016

Camelot of Si

Organisation Children's Substance Abuse Rehabilitation Facility Staten Island, NY

Practice location

Address: 460 Brielle Ave, Staten Island, NY 10314-6427
Phone: (718) 816-6589

Authorised official

Name: Luke J Nasta
Title: Executive Director
Phone: (718) 816-6589

Registered specialties

Children's Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 3245S0500X

Other Substance Abuse Rehabilitation Facility providers in New York →

Registry record

NPI: 1063806016
Entity type: Organization
NPI issued: 26 Mar 2015
Record last updated: 26 Mar 2015

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.