Organization
TRAC AUTISM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCAS ADDO (EXECUTIVE DIRECTOR)
(347) 687-7701
Entity
Organization
Contact information
Practice address
1155 WARBURTON AVE APT 6E, YONKERS, NY 10701-1030
(347) 687-7701
Mailing address
1155 WARBURTON AVE APT 6E, YONKERS, NY 10701-1030
(347) 687-7701
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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