FIVE TOWNS COMMUNITY CENTER CODA PROGRAM NPI 1235256256

NPI Information

  • NPI: 1235256256
  • Provider Name: FIVE TOWNS COMMUNITY CENTER CODA PROGRAM
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 270 LAWRENCE AVE
    CODA PROGRAM
    LAWRENCE, NY
    ZIP 11559
  • Phone: (516) 239-6244

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NPI Details

FIVE TOWNS COMMUNITY CENTER CODA PROGRAM is a substance abuse rehabilitation facility in Lawrence, 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. FIVE TOWNS COMMUNITY CENTER CODA PROGRAM NPI is 1235256256. The provider is registered as an organization entity type.

The provider's business location address is:

270 LAWRENCE AVE
CODA PROGRAM
LAWRENCE, NY
ZIP 11559-224
Phone: (516) 239-6244
Fax: (516) 371-2147

The provider's authorized official is Lorenzo Sistrunk .
The authorized official title is Executive Director and has the following contact phone number (516) 239-6244.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 5/12/2015.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102784169MEDICAIDNEW 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: 11/21/2025

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