Upstate Cerebral Palsy, INC

NPI #1649426214 in Herkimer, New York

Provider Information

NPI Number: 1649426214
Entity Type: Organization
Organization Name: Upstate Cerebral Palsy, INC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Aug 14, 2008
Last Updated: Apr 5, 2023

Practice Location

Address: 138 W GERMAN ST
City: Herkimer
State: New York
ZIP Code: 13350-1101
Phone: (315) 724-6907

Authorized Official

Name: GENO DECONDO
Title: EXECUTIVE DIRECTOR
Phone: (315) 724-6907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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