Organization
SAMARITAN DAYTOP VILLAGE, INC.
Active
Organization
SAMARITAN DAYTOP VILLAGE, INC.
Active
Other names
Daytop Village, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MADRAY MBA (VP OF HEALTH SERVICES & COMMUNITY B)
(718) 206-2000
Entity
Organization
Contact information
Practice address
900 ARNOW AVENUE, BRONX, NY 10469
(718) 822-1217
(718) 597-6151
Mailing address
54 W 40TH ST, NEW YORK, NY 10018-2602
(212) 354-6000
(212) 382-3899
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00659687
—
NY
01
—
7002121R
DEPT OF HEALTH ART 28 CER
NY
Enumeration date
04/03/2007
Last updated
04/29/2016
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