Organization · Type 2 NPI
Chautauqua County Chapter of Nysarc Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jamestown, NY
Practice location
165 Chandler St
Jamestown, NY 14701-5637
Mailing address
200 Dunham Ave
Jamestown, NY 14701-2528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 6069-497 (NY) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1932263746
Chautauqua County Chapter of Nysarc Inc.'s National Provider Identifier is 1932263746, issued on Dec 19, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jamestown, NY. The record was last updated on Aug 9, 2016.