Capital District Respite, Inc.

NPI #1790177061 in Ballston Spa, New York

Provider Information

NPI Number: 1790177061
Entity Type: Organization
Organization Name: Capital District Respite, Inc.
Primary Specialty: Respite Care - Respite Care, Mental Illness, Child
Enumeration Date: Feb 24, 2015
Last Updated: Feb 24, 2015

Practice Location

Address: 199 MILTON AVE STE 11
City: Ballston Spa
State: New York
ZIP Code: 12020-1454
Phone: (518) 527-6531

Authorized Official

Name: MS. PAULA A. TAMBASCO
Title: EXECUTIVE DIRECTOR
Phone: (518) 527-6531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care - Respite Care, Mental Illness, Child — Respite Care, Mental Illness, Child	385HR2055X	Primary

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