OrganizationActive
Cnyddso
NPI 1356700488 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Rome, NY
Provider details
- NPI number
- 1356700488
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kent Myers, Senior OT(315) 339-6536
- License
- 007106-1 (NY)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 007106-1 (NY)
Residential Treatment Facilities
Practice location
1315 Schuyler St
Rome, NY 13440-2825
Phone: (315) 794-4469
Approximate (ZIP-level) locationGet directions
Mailing address
1315 Schuyler St
Rome, NY 13440
Other names (DBA / former)
- Other name
- Opwdd
Registry dates
- Enumerated
- 2016-02-17
- Last updated
- 2016-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.