# SOUTHERN TIER SPECIAL NEEDS RESOURCES LLC

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

## Provider details

- **NPI number:** 1407280225
- **Authorized official:** DR. MARY THERESA SCHRADER PHD (OWNER / MANAGING MEMBER)
- **Authorized official phone:** (607) 206-4799

## Contact information

- **Practice address:** 38 MARGARET ST, JOHNSON CITY, NY 13790-3016
- **Practice address phone:** (607) 206-4799
- **Practice address fax:** (607) 797-7601
- **Mailing address:** 38 MARGARET ST, JOHNSON CITY, NY 13790-3016
- **Mailing address phone:** (607) 206-4799
- **Mailing address fax:** (607) 797-7601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/28/2013
- **Last updated:** 10/23/2013
