Provider Demographics
NPI:1487077590
Name:THE CENTER FOR THERAPEUTIC AND EDUCATIONAL RIDING, INC
Entity type:Organization
Organization Name:THE CENTER FOR THERAPEUTIC AND EDUCATIONAL RIDING, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LIVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-376-9594
Mailing Address - Street 1:3491 HARRIS RD
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:DE
Mailing Address - Zip Code:19734-9383
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3491 HARRIS RD
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:DE
Practice Address - Zip Code:19734-9383
Practice Address - Country:US
Practice Address - Phone:302-540-4369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health