33D2041379 CLIA NUMBER - SOUTH BEACH ADDICTION TREATMENT CENTER

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Laboratory Demographics

CLIA Number: 33D2041379

Facility Name: SOUTH BEACH ADDICTION TREATMENT CENTER

Facility Address:
777 SEAVIEW AVE - BLDG 1 2ND FLOOR
STATEN ISLAND, NY
ZIP 10305
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Facility Phone Number: (718) 667-5202

Facility Type: COMPREHENSIVE OUTPATIENT REHAB

Certificate Type: Waiver

NPI Number: 1922180363

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	33D2041379
LAB Type	COMPREHENSIVE OUTPATIENT REHAB
Facility Name	SOUTH BEACH ADDICTION TREATMENT CENTER
Street	777 SEAVIEW AVE - BLDG 1 2ND FLOOR
City	STATEN ISLAND
State	NY
ZIP	10305
Phone	(718) 667-5202

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This page was last updated on: 5/11/2023