Organization · Type 2 NPI

State of New York

Intellectual Disabilities Intermediate Care Facility · Wassaic, NY

NPI number 1174852909 Active

About NPI 1174852909

State of New York's National Provider Identifier is 1174852909, issued on Dec 7, 2009. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Wassaic, NY. The record was last updated on Dec 7, 2009.