OrganizationActive
Center for Disability Services
NPI 1407014830 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Troy, NY
Provider details
- NPI number
- 1407014830
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Laura Gould, Supervisor of Credentialing(518) 437-5516
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
150 White Church Rd
Troy, NY 12180-9010
Phone: (518) 437-5717
Approximate (ZIP-level) locationGet directions
Mailing address
314 S Manning Blvd
Albany, NY 12208-1708
Other names (DBA / former)
- Other name
- White Church
Registry dates
- Enumerated
- 2008-06-02
- Last updated
- 2024-05-02
- Certified
- 2024-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.