Organization
START WHERE YOU STAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRYSTAL AVIS BLACK CASAC (EXECUTIVE DIRECTOR OF OPERATIONS)
(718) 764-9742
Entity
Organization
Contact information
Practice address
14502 123RD AVE, PRIVATE, SOUTH OZONE PARK, NY 11436-1618
(718) 764-9742
Mailing address
14502 123RD AVE, SOUTH OZONE PARK, NY 11436-1618
(718) 764-9742
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
25853
NY
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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