Organization
ACHIEVEMENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMI B CALLISTER MSED (DIRECTOR)
(518) 782-1178
Entity
Organization
Contact information
Practice address
623 NEW LOUDON RD, LATHAM, NY 12110-4031
(518) 782-1178
(518) 782-3433
Mailing address
623 NEW LOUDON RD, LATHAM, NY 12110-4031
(518) 782-1178
(518) 782-3433
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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