# CARL DAVID RICHARDSON FOUNDATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CDR Foundation Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881152932
- **Authorized official:** MRS. JOHANN ANDRIA RICHARDSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (800) 313-7591

## Contact information

- **Practice address:** 14556 229TH ST, SPRINGFIELD GARDENS, NY 11413-3923
- **Practice address phone:** (800) 313-7591
- **Practice address fax:** (718) 949-6315
- **Mailing address:** 14556 229TH ST, SPRINGFIELD GARDENS, NY 11413-3923
- **Mailing address phone:** (800) 313-7591
- **Mailing address fax:** (718) 949-6315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2019
- **Last updated:** 11/25/2020