institution
Samaritan Daytop Village, Inc.
Substance Use Disorder Rehabilitation Clinic/Center in Jamaica, New York
NPI 1982878757

Samaritan Daytop Village, Inc. is a Substance Use Disorder Rehabilitation Clinic/Center based in Briarwood, NY and is specialized in Rehabilitation, Substance Use Disorder. Samaritan Daytop Village, Inc. practices in Jamaica, NY. The NPI Number for Samaritan Daytop Village, Inc. is 1982878757 and holds a License No. 080311278 (New York).

The current practice location address for Samaritan Daytop Village, Inc. is 14401 Jamaica Ave, Jamaica, NY and can be reached out via phone at 718-206-1990 and via fax at 718-206-0051.

Location: 14401 Jamaica Ave, Jamaica, NY, 11435-2642
institution
Provider Profile Details
NPI Number
1982878757
Provider Name
Samaritan Daytop Village, Inc.
Credential
Provider Entity Type
Organization
Address
14401 Jamaica Ave, Jamaica, NY, 11435-2642
Phone Number
718-206-1990
Fax Number
718-206-0051
Provider Enumeration Date
04/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
080311278 01 NY OASAS LIC#
16890 01 NY OASAS PROVIDER #
000245309 05 NY
PRU #6595 01 NY OASAS PROG,REPORT #
institution
Provider Business Practice Location Address Details
Address
14401 Jamaica Ave
City
State
Zip
11435-3601
Phone Number
718-206-1990
Fax Number
718-206-0051
person
Provider Business Mailing Address Details
Address
14401 Jamaica Ave
City
State
Zip
11435-3601
Phone Number
718-206-1990
Fax Number
718-206-0051
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
080311278 (New York)
Definition
Definition to come...
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