United Cerebral Palsy D/b/a Upstate Cerebral Palsy

NPI 1649426214 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1649426214
Enumeration Date 08/14/2008
Last Updated 10/01/2015
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name LOUIS B. LOUIS
Position EXECUTICE DIRECTOR
Phone (315) 724-6907
Fax (315) 733-0791
Practice Location
1020 MARY ST
UTICA NY, 13501-1930, US
Phone (315) 724-6907
Fax (315) 733-0791
Business Location
138 W GERMAN ST
HERKIMER NY, 13350-1101, US
Phone (315) 866-0770
Fax (315) 866-2953
Toxanomy
Taxonomy Code 320800000X
License State New York
License Number 6282433
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According to our database, United Cerebral Palsy D/b/a Upstate Cerebral Palsy NPI is 1649426214, taxonomy code is 320800000X and license number is 6282433, license state is located at New York. United Cerebral Palsy D/b/a Upstate Cerebral Palsy physically located at 1020 Mary St, Utica NY, 13501-1930. NPI Number 1033115704 has the healthcare provider type.

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1649426214 NPI number is provided on an as is basis without warranty of any kind. 1649426214 is maintained by the National Plan & Provider Enumeration System. The contents of United Cerebral Palsy D/b/a Upstate Cerebral Palsy are for informational purposes only.