Provider Demographics
NPI:1497707806
Name:START TREATMENT & RECOVERY CENTERS INC
Entity Type:Organization
Organization Name:START TREATMENT & RECOVERY CENTERS INC
Other - Org Name:ADDICTION RESEARCH AND TREATMENT CORPORATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CHIEF EXCECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JONNEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DORIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-260-2933
Mailing Address - Street 1:937 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-2347
Mailing Address - Country:US
Mailing Address - Phone:718-260-2900
Mailing Address - Fax:
Practice Address - Street 1:1149-55 MYRTLE AVENUE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206
Practice Address - Country:US
Practice Address - Phone:718-574-1400
Practice Address - Fax:718-919-1535
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:START TREATMENT & RECOVERY CENTERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-16
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7001214R261Q00000X
NY071110353261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00244606Medicaid
NY00244606Medicaid