Organization · Type 2 NPI

Camelot of Si

Children's Substance Abuse Rehabilitation Facility · Staten Island, NY

NPI number 1063806016 Active

Practice location

460 Brielle Ave
Staten Island, NY 10314-6427

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XNone listed

Children's Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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About NPI 1063806016

Camelot of Si's National Provider Identifier is 1063806016, issued on Mar 26, 2015. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Staten Island, NY. The record was last updated on Mar 26, 2015.