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Samaritan Daytop Village, Inc.
Substance Abuse Rehabilitation Facility in Richmond Hill, New York
NPI 1396822839

Samaritan Daytop Village, Inc. is a Substance Abuse Rehabilitation Facility based in Briarwood, NY. Samaritan Daytop Village, Inc. practices in Richmond Hill, NY. The NPI Number for Samaritan Daytop Village, Inc. is 1396822839 and holds a License No. 16890 (New York).

The current practice location address for Samaritan Daytop Village, Inc. is 13020 89Th Rd, Richmond Hill, NY and can be reached out via phone at 718-441-8913 and via fax at 718-805-6041.

Location: 13020 89Th Rd, Richmond Hill, NY, 11435-2642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396822839
Provider Name
Samaritan Daytop Village, Inc.
Credential
Provider Entity Type
Organization
Address
13020 89Th Rd, Richmond Hill, NY, 11435-2642
Phone Number
718-441-8913
Fax Number
718-805-6041
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03A0973 01 NY NYDS-DOH LICENSE #
16890 01 NY NYS-OASAS PROVIDER #
000245309 05 NY
PRU-393 01 NY NYS-OASAS PROG.REPORT#
080510352 01 NY NYS-OASAS CD OPR.CERT.
institution
Provider Business Practice Location Address Details
Address
13020 89Th Rd
City
Richmond Hill
State
New York
Zip
11418-3301
Phone Number
718-441-8913
Fax Number
718-805-6041
person
Provider Business Mailing Address Details
Address
13020 89Th Rd
City
Richmond Hill
State
New York
Zip
11418-3301
Phone Number
718-441-8913
Fax Number
718-805-6041
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
16890 (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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