Organization
DAYTOP VILLAGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL BURNS (DIRECTOR OF FINANCE)
(212) 354-6000
Entity
Organization
Contact information
Practice address
104 WEST 40TH STREET, 4TH FLOOR, NEW YORK, NY 10018
(212) 354-6000
(212) 302-4051
Mailing address
104 WEST 40TH STREET, 4TH FLOOR, NEW YORK, NY 10018
(212) 354-6000
(212) 302-4051
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
070211238
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00659687
—
NY
01
—
070211238
NYS OASAS LLICENSE
NY
01
—
7002121R
NYSDOH ART.28 LICENSE
NY
Enumeration date
09/21/2006
Last updated
06/04/2012
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