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FIVE TOWNS COMMUNITY CENTER CODA PROGRAM
NPI 1235256256
Substance Abuse Rehabilitation Facility in Lawrence, NY

Active since March 23, 2007
270 LAWRENCE AVE, CODA PROGRAM, LAWRENCE, NY 11559(516) 239-6244(516) 371-2147 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Five Towns Community Center Coda Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIVE TOWNS COMMUNITY CENTER CODA PROGRAM (NPI 1235256256) is a healthcare organization registered as a substance abuse rehabilitation facility in Lawrence, New York and active in the NPI registry since March 2007. The organization lists Lorenzo Sistrunk, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1235256256
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameFIVE TOWNS COMMUNITY CENTER CODA PROGRAM
Location Address270 LAWRENCE AVE, CODA PROGRAMLawrence, NY 11559-1224
Mailing Address270 Lawrence Ave, Coda ProgramLawrence, NY 11559-1224 · (516) 239-6244 · Fax (516) 371-2147
Phone(516) 239-6244
Fax(516) 371-2147
Organization SubpartNo
Authorized OfficialLorenzo SistrunkExecutive Director · (516) 239-6244
Enumeration DateMarch 23, 2007
Last NPPES UpdateMay 12, 2015
✔ NPI 1235256256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
270 LAWRENCE AVE, Lawrence, NY 11559
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Other Identifiers 1

Medicaid02784169NY

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLEMAGNE BENJAMIN CASAC-T
Counselor (Addiction (Substance Use Disorder))
270 LAWRENCE AVE
LAWRENCE, NY 11559
Nassau County (516) 239-6244
DAMARIS EVANGELINA FELIZ-ALI
Technician
270 LAWRENCE AVE
LAWRENCE, NY 11559
Nassau County (516) 817-1771
MRS. PHYLLIS CIMA TROPP LCSW-R/CASAC
Counselor (Addiction (Substance Use Disorder))
270 LAWRENCE AVE, SECOND FLOOR
LAWRENCE, NY 11559
Nassau County (516) 239-6244
MR. JOHN EDWARD MULLOON JR. LCSW
Social Worker (Clinical)
270 LAWRENCE AVE
LAWRENCE, NY 11559
Nassau County (516) 239-1945
MR. JOSE L. MELENDEZ C.A.S.A.C.
Counselor (Addiction (Substance Use Disorder))
270 LAWRENCE AVE
LAWRENCE, NY 11559
Nassau County (516) 239-6244
RITA KENN LCSW
Social Worker (Clinical)
270 LAWRENCE AVE
LAWRENCE, NY 11559
Nassau County (516) 239-1945
MS. SHARON HALL-FREY LMSW
Social Worker
270 LAWRENCE AVE
LAWRENCE, NY 11559
Nassau County (516) 239-6244
DANIELLE FEIHEL LCSW
Social Worker (Clinical)
270 LAWRENCE AVE
LAWRENCE, NY 11559
Nassau County (516) 239-6244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Five Towns Community Center Coda Program's NPI number?

The NPI number for Five Towns Community Center Coda Program is 1235256256. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Five Towns Community Center Coda Program located?

Five Towns Community Center Coda Program is located at 270 Lawrence Ave Coda Program, Lawrence, NY 11559. The listed phone number is (516) 239-6244.

What is Five Towns Community Center Coda Program's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Five Towns Community Center Coda Program was last updated on May 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.