Organization
UPSTATE CEREBRAL PALSY, INC
Active
Organization
UPSTATE CEREBRAL PALSY, INC
Active
Other names
United Cerebral Palsy
Organization subpart
No
Provider details
NPI number
Authorized official
GENO DECONDO (EXECUTIVE DIRECTOR)
(315) 724-6907
Entity
Organization
Contact information
Practice address
138 W GERMAN ST, HERKIMER, NY 13350-1101
(315) 724-6907
(315) 733-0791
Mailing address
125 BUSINESS PARK DR, UTICA, NY 13502-6305
(315) 724-6907
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
6282433
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01303855
—
NY
Enumeration date
08/14/2008
Last updated
04/05/2023
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