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Organization
SDTC THE CENTER FOR DISCOVERY
Active
Organization
SDTC THE CENTER FOR DISCOVERY
Active
Other names
CRP #2 Willow ICF
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDE D'ALESSANDRO (VP OF FINANCE)
(845) 794-1400
Entity
Organization
Contact information
Practice address
BENMOSCHE RD, HARRIS, NY 12742-0840
(845) 794-1400
Mailing address
PO BOX 840, LIVINGSTON MANOR, NY 12758-0840
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01857978
—
NY
01
—
7467438
OPERATING CERTIFICATE
NY
Enumeration date
12/29/2006
Last updated
08/22/2020
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