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RESTORATIVE MANAGEMENT CORP NPI 1043385578


NPI Information

NPI: 1043385578
Provider Name: RESTORATIVE MANAGEMENT CORP
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 33D2258486

Address:
7 RAILROAD AVE
MIDDLETOWN, NY
ZIP 10940
Phone: (845) 342-5941
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RESTORATIVE MANAGEMENT CORP is a substance abuse rehabilitation facility in Middletown, NY. The provider is 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. RESTORATIVE MANAGEMENT CORP NPI is 1043385578. The provider is registered as an organization entity type.

The provider's business location address is:

7 RAILROAD AVE
MIDDLETOWN, NY
ZIP 10940-907
Phone: (845) 342-5941
Fax: (845) 393-8011

The provider's authorized official is David Scharf .
The authorized official title is Cfo and has the following contact phone number (718) 436-5151.

The CLIA number assigned to this NPI record is 33D2258486 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 3/23/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility97010920NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101448517MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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