FAITH MISSION ALCOHOL CRISIS CENTER – NPI #1740617315
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

FAITH MISSION ALCOHOL CRISIS CENTER is a substance abuse rehabilitation facility located in SOUTH OZONE PARK, NY. NPPES has assigned the NPI number 1740617315 to FAITH MISSION ALCOHOL CRISIS CENTER on September 27, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAITH MISSION ALCOHOL CRISIS CENTER below.

NPI Profile for
FAITH MISSION ALCOHOL CRISIS CENTER

NPI Number
1740617315
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAITH MISSION ALCOHOL CRISIS CENTER
Primary location
114-40 VAN WYCK EXPRESSWAY
SOUTH OZONE PARK, NY 11420
Phone: (718) 322-3455 Fax: (718) 848-4152
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MAURICE LACEY
EXECUTIVE DIRECTOR
Phone: (718) 322-3455
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
NY 140710094

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.