Provider Demographics
NPI:1104161850
Name:NORTHEAST PARENT AND CHILD SOCIETY
Entity type:Organization
Organization Name:NORTHEAST PARENT AND CHILD SOCIETY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DAY TREATMENT CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:RITA
Authorized Official - Last Name:RICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:518-372-9423
Mailing Address - Street 1:327 ABBOTTSFORD ROAD
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304
Mailing Address - Country:US
Mailing Address - Phone:518-372-9423
Mailing Address - Fax:518-374-3951
Practice Address - Street 1:327 ABBOTTSFORD ROAD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304
Practice Address - Country:US
Practice Address - Phone:518-372-9423
Practice Address - Fax:518-374-3951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073709 1251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)