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Ymca Of Greater Ny

Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children in Staten Island, NY. Organization (NPI-2).

NPI number1508317561
StatusActive
Last updated in NPPESOct 14, 2016

Details

NPI
1508317561
Entity type
Organization (NPI-2)
Legal business name
Ymca Of Greater Ny
Organization subpart
No
Enumeration date
Oct 14, 2016
Last updated
Oct 14, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children628518NYYes

Practice location

3911 Richmond Ave
Staten Island, NY 10312-5110

Phone 718-948-3232 · Fax 718-966-6605

Mailing address

3911 Richmond Ave
Staten Island, NY 10312-5110

Phone 718-984-3232 · Fax 718-984-6605

Authorized official

Joseph Micheal Verhey
Interim Executive Director
7189483232

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