# ACHIEVEMENTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316190903
- **Authorized official:** MRS. TAMI B CALLISTER MSED (DIRECTOR)
- **Authorized official phone:** (518) 782-1178

## Contact information

- **Practice address:** 623 NEW LOUDON RD, LATHAM, NY 12110-4031
- **Practice address phone:** (518) 782-1178
- **Practice address fax:** (518) 782-3433
- **Mailing address:** 623 NEW LOUDON RD, LATHAM, NY 12110-4031
- **Mailing address phone:** (518) 782-1178
- **Mailing address fax:** (518) 782-3433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 10/28/2008