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Samaritan Daytop Village
Substance Abuse Rehabilitation Facility in Ellenville, New York
NPI 1245777390

Samaritan Daytop Village is a Substance Abuse Rehabilitation Facility based in Briarwood, NY. Samaritan Daytop Village practices in Ellenville, NY. The NPI Number for Samaritan Daytop Village is 1245777390 and holds a License No. 180311878 (New York).

The current practice location address for Samaritan Daytop Village is 767 Cape Rd, Ellenville, NY and can be reached out via phone at 718-206-2000 and via fax at 718-206-4055.

Location: 767 Cape Rd, Ellenville, NY, 11435-2642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245777390
Provider Name
Samaritan Daytop Village
Credential
Provider Entity Type
Organization
Address
767 Cape Rd, Ellenville, 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
767 Cape Rd
City
Ellenville
State
New York
Zip
12428
Phone Number
718-206-2000
Fax Number
718-206-4055
person
Provider Business Mailing Address Details
Address
767 Cape Rd
City
Ellenville
State
New York
Zip
12428
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.
180311878 (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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