NPI 1740617315

Faith Mission Alcohol Crisis Center

Organisation Substance Abuse Rehabilitation Facility South Ozone Park, NY

Practice location

Address: 114-40 van Wyck Expressway, South Ozone Park, NY 11420
Phone: (718) 322-3455
Fax: (718) 848-4152

Authorised official

Name: Maurice Lacey
Title: Executive Director
Phone: (718) 322-3455

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 140710094 (NY)

Other Substance Abuse Rehabilitation Facility providers in New York →

Registry record

NPI: 1740617315
Entity type: Organization
NPI issued: 27 Sep 2013
Record last updated: 27 Sep 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.