Organization
820 RIVER STREET INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER YOUNG C.E.O. (CHIEF OPERATING OFFICER)
(518) 377-2448
Entity
Organization
Contact information
Practice address
1140 PACIFIC ST, BROOKLYN, NY 11216-2901
(718) 230-7780
Mailing address
1140 PACIFIC ST, BROOKLYN, NY 11216-2901
(718) 230-7780
(718) 230-4755
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03007114
—
NY
Enumeration date
04/09/2007
Last updated
02/24/2015
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