Individual provider · Type 1 NPI

Rodney Sam Reyes, BA, ADV. CASAC-G

Substance Abuse Rehabilitation Facility · Bronx, NY

NPI number 1407242191 Active

Practice location

770 E 176th St
Bronx, NY 10460-4617

Call (929) 306-7951 Map

Mailing address

770 St 176, 630 Concord Avenue
Bronx, NY 10455-1045

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X28646 (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 1407242191

Rodney Sam Reyes, BA, ADV. CASAC-G's National Provider Identifier is 1407242191, issued on Apr 9, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Bronx, NY. The record was last updated on Oct 22, 2024.