Organization
SDTC THE CENTER FOR DISCOVERY
Active
Other names
EVERGREEN 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
18 UNAMI CIRCLE, MONTICELLO, NY 12701
(845) 794-1400
Mailing address
840 BENMOSCHE RD, HARRIS, NY 12742
(845) 794-1400
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02899594
—
NY
01
—
7467450
OPERATING CERTIFICATE
NY
Enumeration date
09/21/2007
Last updated
09/21/2007
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