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Daytop Village Inc.
Substance Abuse Rehabilitation Facility in New York, New York
NPI 1790884500

Daytop Village Inc. is a Substance Abuse Rehabilitation Facility based in New York, NY. Daytop Village Inc. practices in New York, NY. The NPI Number for Daytop Village Inc. is 1790884500 and holds a License No. 070211238 (New York).

The current practice location address for Daytop Village Inc. is 104 West 40Th Street, New York, NY and can be reached out via phone at 212-354-6000 and via fax at 212-302-4051.

Location: 104 West 40Th Street, New York, NY, 10018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790884500
Provider Name
Daytop Village Inc.
Credential
Provider Entity Type
Organization
Address
104 West 40Th Street, New York, NY, 10018
Phone Number
212-354-6000
Fax Number
212-302-4051
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7002121R 01 NY NYSDOH ART.28 LICENSE
070211238 01 NY NYS OASAS LLICENSE
00659687 05 NY
institution
Provider Business Practice Location Address Details
Address
104 West 40Th Street
City
New York
State
New York
Zip
10018
Phone Number
212-354-6000
Fax Number
212-302-4051
person
Provider Business Mailing Address Details
Address
104 West 40Th Street
City
New York
State
New York
Zip
10018
Phone Number
212-354-6000
Fax Number
212-302-4051
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
070211238 (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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