Organization · Type 2 NPI
Upstate Cerebral Palsy, Inc
Intellectual Disabilities Intermediate Care Facility · Utica, NY
NPI number
1942361944
Active
Practice location
6340 Trenton Rd
Utica, NY 13502-6816
Fax (315) 733-0791
Mailing address
125 Business Park Dr
Utica, NY 13502-6305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 01007529 (NY) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1942361944
Upstate Cerebral Palsy, Inc's National Provider Identifier is 1942361944, 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.