Organization Name: | ANDERSON CENTER FOR AUTISM |
NPI Number: | 1073984340 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALYSSA CENTONZE (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 4885 Route 9 Staatsburg |
State: | NY US |
Postal Code: | 125806028 |
Phone Number: | 8458899507 |
Fax Number: | |
NPI Enumeration Date: | 10/13/2015 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320600000X |
License Number: | 025175 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |