Provider Demographics
NPI:1750559712
Name:START TREATMENT & RECOVERY CENTERS INC
Entity type:Organization
Organization Name:START TREATMENT & RECOVERY CENTERS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-260-2917
Mailing Address - Street 1:22 CHAPEL STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201
Mailing Address - Country:US
Mailing Address - Phone:718-260-2906
Mailing Address - Fax:718-243-1562
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:718-574-1928
Practice Address - Fax:718-919-2374
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:START TREATMENT & RECOVERY CENTERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-13
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY011285OtherNEW YORK STATE