Organization
ELDERBERRY ICF
Active
Parent organization
SDTC THE CENTER FOR DISCOVERY INC
Other names
The Center for Discovery
Organization subpart
Yes
Provider details
NPI number
Legal business name
SDTC THE CENTER FOR DISCOVERY INC
Authorized official
PHILIP JOSEPH MORACI (VP BUSINESS DEVELOPMENT)
(845) 707-8135
Entity
Organization
Contact information
Practice address
15 POEM PLACE, MONTICELLO, NY 12701
(845) 707-8341
Mailing address
PO BOX 840, HARRIS, NY 12742-0840
(845) 707-8135
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74670475
OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES
NY
Enumeration date
12/13/2019
Last updated
12/13/2019
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