OrganizationActive
Kerry Coons
NPI 1548701154 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Schenectady, NY
Provider details
- NPI number
- 1548701154
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kerry Coons, Cota(518) 320-6386
- License
- 009065-1 (NY)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 009065-1 (NY)
Residential Treatment Facilities
Practice location
481 Bradford Rd
Schenectady, NY 12304-3721
Phone: (518) 320-6386
Approximate (ZIP-level) locationGet directions
Mailing address
481 Bradford Rd
Schenectady, NY 12304
Registry dates
- Enumerated
- 2017-03-15
- Last updated
- 2017-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.