| NPI | 1679702955 |
|---|---|
| Other Name | TACONIC DDSO |
| Entity Type | Organization |
| Authorized Contact | EARL JEFFERSON Director Of Central Operations 510-402-4333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NY 00275410) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2015-12-28 |