NPI 1720327794

Ymca

Organisation Substance Abuse Rehabilitation Facility Staten Island, NY

Practice location

Address: 285 Vanderbilt Ave, Staten Island, NY 10304-2525
Phone: (718) 981-4382

Authorised official

Name: Keith E Mc Fall
Title: Counselor
Phone: (718) 981-4382

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 005200-1 (NY)

Other Substance Abuse Rehabilitation Facility providers in New York →

Registry record

NPI: 1720327794
Entity type: Organization
NPI issued: 11 Feb 2013
Record last updated: 27 Feb 2013

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.