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Samaritan Daytop Village
Substance Abuse Rehabilitation Facility in Ny, New York
NPI 1053858100

Samaritan Daytop Village is a Substance Abuse Rehabilitation Facility based in Briarwood, NY. Samaritan Daytop Village practices in Ny, NY. The NPI Number for Samaritan Daytop Village is 1053858100 and holds a License No. 161211828 (New York).

The current practice location address for Samaritan Daytop Village is 119 W 160Th St, Ny, NY and can be reached out via phone at 718-206-2000 and via fax at 718-206-4055.

Location: 119 W 160Th St, Ny, NY, 11435-2642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053858100
Provider Name
Samaritan Daytop Village
Credential
Provider Entity Type
Organization
Address
119 W 160Th St, Ny, NY, 11435-2642
Phone Number
718-206-2000
Fax Number
718-206-4055
Provider Enumeration Date
01/27/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00245309 01 NY MEDICAID
institution
Provider Business Practice Location Address Details
Address
119 W 160Th St
City
Ny
State
New York
Zip
10025
Phone Number
718-206-2000
Fax Number
718-206-4055
person
Provider Business Mailing Address Details
Address
119 W 160Th St
City
Ny
State
New York
Zip
10025
Phone Number
718-206-2000
Fax Number
718-206-4055
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
161211828 (New York)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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