Organization
ANDERSON CENTER FOR AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA CENTONZE MS, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(845) 889-9507
Entity
Organization
Contact information
Practice address
4885 ROUTE 9, STAATSBURG, NY 12580-6028
(845) 889-9507
Mailing address
PO BOX 367, STAATSBURG, NY 12580-0367
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
025175
NY
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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