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Elmcor Youth And Adult Activities
Substance Abuse Rehabilitation Facility in Corona, New York
NPI 1174994305

Elmcor Youth And Adult Activities is a Substance Abuse Rehabilitation Facility based in Corona, NY. Elmcor Youth And Adult Activities practices in Corona, NY. The NPI Number for Elmcor Youth And Adult Activities is 1174994305 and holds a License No. 180711300 (New York).

The current practice location address for Elmcor Youth And Adult Activities is 10720 Northern Blvd, Corona, NY and can be reached out via phone at 718-651-0096 and via fax at 718-457-3932.

Location: 10720 Northern Blvd, Corona, NY, 11368-1236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174994305
Provider Name
Elmcor Youth And Adult Activities
Credential
Provider Entity Type
Organization
Address
10720 Northern Blvd, Corona, NY, 11368-1236
Phone Number
718-651-0096
Fax Number
718-457-3932
Provider Enumeration Date
10/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10720 Northern Blvd
City
Corona
State
New York
Zip
11368-1236
Phone Number
718-651-0096
Fax Number
718-457-3932
person
Provider Business Mailing Address Details
Address
10720 Northern Blvd
City
Corona
State
New York
Zip
11368-1236
Phone Number
718-651-0096
Fax Number
718-457-3932
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
180711300 (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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