GENESIS DETOX OF BROOKLYN LLC NPI 1942745088

NPI Information

NPI: 1942745088
Provider Name: GENESIS DETOX OF BROOKLYN, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
449 39TH ST
BROOKLYN, NY
ZIP 11232
Phone: (718) 633-4673
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GENESIS DETOX OF BROOKLYN, LLC is a substance abuse rehabilitation facility in Brooklyn, 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. GENESIS DETOX OF BROOKLYN, LLC NPI is 1942745088. The provider is registered as an organization entity type.

The provider's business location address is:

449 39TH ST
BROOKLYN, NY
ZIP 11232-909
Phone: (718) 633-4673
Fax: (929) 250-2332

The provider's authorized official is Samuel Benitez .
The authorized official title is Managing Partner/ceo and has the following contact phone number (718) 633-4673.

The enumeration date for this NPI number is 12/28/2016 and was last updated on 8/22/2023.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
2	324500000X	Substance Abuse Rehabilitation Facility				Yes

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

NPI Synchronization or Removal

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