CATHOLIC CHARITIES DISABILITIES SERVICES NPI 1871652040

NPI Information

CATHOLIC CHARITIES DISABILITIES SERVICES is an intermediate care facility mentally retarded in Latham, NY. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. CATHOLIC CHARITIES DISABILITIES SERVICES NPI is 1871652040. The provider is registered as an organization entity type.

The provider's business location address is:

15 AVIS DR
LATHAM, NY
ZIP 12110-601
Phone: (518) 783-1111
Fax: (518) 785-4894

The provider's authorized official is Gary C Siegel .
The authorized official title is Executive Director and has the following contact phone number (518) 783-1111.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 8/30/2007.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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