Organization · Type 2 NPI

Upstate Cerebral Palsy, Inc

Intellectual Disabilities Intermediate Care Facility · Utica, NY

NPI number 1790846780 Active

Practice location

1237 Tilden Ave, Dimeo Residence
Utica, NY 13501-4150

Call (315) 798-9275 Map

Fax (315) 734-9659

Mailing address

125 Business Park Dr
Utica, NY 13502-6305

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X02007638 (NY)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1790846780

Upstate Cerebral Palsy, Inc's National Provider Identifier is 1790846780, issued on Dec 13, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Utica, NY. The record was last updated on Apr 5, 2023.