Organization · Type 2 NPI

Sus

Substance Abuse Rehabilitation Facility · New York, NY

NPI number 1114304458 Active

Practice location

170 E 107th St
New York, NY 10029-3905

Call (212) 722-7507 Map

Fax (212) 722-7583

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X150511551 (NY)

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 individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1114304458

Sus's National Provider Identifier is 1114304458, issued on May 6, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in New York, NY. The record was last updated on May 6, 2015.