NPI 1922545086

Samaritan Daytop Village

Organisation Substance Abuse Rehabilitation Facility Jamaica, NY

Practice location

Address: 88-83 van Wyck Expressway, Jamaica, NY 11435
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 C170110042 (NY)

Other Substance Abuse Rehabilitation Facility providers in New York →

Registry record

NPI: 1922545086
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.