Organization
CAPITAL DISTRICT RESPITE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA A. TAMBASCO (EXECUTIVE DIRECTOR)
(518) 527-6531
Entity
Organization
Contact information
Practice address
199 MILTON AVE STE 11, BALLSTON SPA, NY 12020-1454
(518) 527-6531
(518) 373-2901
Mailing address
PO BOX 111, BALLSTON SPA, NY 12020-0111
(518) 527-6531
(518) 373-2901
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03327819
—
NY
Enumeration date
02/24/2015
Last updated
02/24/2015
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