Organization
AMETHYST HOUSE , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL FEREN MBA (CHIEF OPERATING OFFICER)
(347) 630-1416
Entity
Organization
Contact information
Practice address
280 RICHMOND TER, STATEN ISLAND, NY 10301-1512
(718) 448-1900
Mailing address
280 RICHMOND TER, STATEN ISLAND, NY 10301-1512
(718) 448-1900
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018638626
DUNS
NY
01
—
1000030373
NYS VENDOR ID
NY
Enumeration date
07/20/2022
Last updated
07/20/2022
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