Faith Mission Alcohol Crisis Center

NPI 1740617315 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1740617315
Enumeration Date 09/27/2013
Last Updated 09/27/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MAURICE MAURICE
Position EXECUTIVE DIRECTOR
Phone (718) 322-3455
Fax (718) 848-4152
Practice Location
114-40 VAN WYCK EXPRESSWAY
SOUTH OZONE PARK NY, 11420, US
Phone (718) 322-3455
Fax (718) 848-4152
Business Location
114-40 VAN WYCK EXPRESSWAY
SOUTH OZONE PARK NY, 11420, US
Phone (718) 322-3455
Fax (718) 848-4152
Toxanomy
Taxonomy Code 324500000X
License State New York
License Number 140710094
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According to our database, Faith Mission Alcohol Crisis Center NPI is 1740617315, taxonomy code is 324500000X and license number is 140710094, license state is located at New York. Faith Mission Alcohol Crisis Center physically located at 114-40 Van Wyck Expressway, South Ozone Park NY, 11420. NPI Number 1033115704 has the healthcare provider type.

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1740617315 NPI number is provided on an as is basis without warranty of any kind. 1740617315 is maintained by the National Plan & Provider Enumeration System. The contents of Faith Mission Alcohol Crisis Center are for informational purposes only.