Provider Demographics
NPI:1154642650
Name:COUNTRY ACRES CHILD RESOURCES PLLC
Entity Type:Organization
Organization Name:COUNTRY ACRES CHILD RESOURCES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEDGE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, MED
Authorized Official - Phone:845-247-8777
Mailing Address - Street 1:268 W SAUGERTIES RD
Mailing Address - Street 2:
Mailing Address - City:SAUGERTIES
Mailing Address - State:NY
Mailing Address - Zip Code:12477-3142
Mailing Address - Country:US
Mailing Address - Phone:845-247-8777
Mailing Address - Fax:845-247-8780
Practice Address - Street 1:268 W SAUGERTIES RD
Practice Address - Street 2:
Practice Address - City:SAUGERTIES
Practice Address - State:NY
Practice Address - Zip Code:12477-3142
Practice Address - Country:US
Practice Address - Phone:845-247-8777
Practice Address - Fax:845-247-8780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY800000064331251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)