Organization
CENTER FOR DISABILITY SERVICES
Active
Other names
Watervliet
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA GOULD (SUPERVISOR OF CREDENTIALING)
(518) 437-5516
Entity
Organization
Contact information
Practice address
1877 8TH AVE, WATERVLIET, NY 12189-2636
(518) 437-5717
Mailing address
314 S MANNING BLVD, ALBANY, NY 12208-1708
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01209627
—
NY
Enumeration date
06/02/2008
Last updated
05/02/2024
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