CAMELOT OF SI NPI 1063806016

NPI Information

CAMELOT OF SI is a substance abuse treatment and children substance abuse rehabilitation facility in Staten Island, 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. CAMELOT OF SI NPI is 1063806016. The provider is registered as an organization entity type.

The provider's business location address is:

460 BRIELLE AVE
STATEN ISLAND, NY
ZIP 10314-427
Phone: (718) 816-6589

The provider's authorized official is Luke J Nasta .
The authorized official title is Executive Director and has the following contact phone number (718) 816-6589.

The enumeration date for this NPI number is 3/26/2015 and was last updated on 3/26/2015.

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:

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