Organization
UNITED CEREBRAL PALSY ASSOCIATION OF THE TRI-COUNTIES, INC.
Active
Other names
Prospect Child and Family Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR LARRIE GOUGE (EXECUTIVE DIRECTOR)
(518) 798-0170
Entity
Organization
Contact information
Practice address
133 AVIATION RD, QUEENSBURY, NY 12804-8206
(518) 798-0170
(518) 743-0227
Mailing address
133 AVIATION RD, QUEENSBURY, NY 12804-8206
(518) 798-0170
(518) 743-0227
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
EI20070906
NY
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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