Provider Demographics
NPI:1164861092
Name:THERAPEUTIC EQUESTERIAN CENTER
Entity Type:Organization
Organization Name:THERAPEUTIC EQUESTERIAN CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEANUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-265-3409
Mailing Address - Street 1:PO BOX 367
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:NY
Mailing Address - Zip Code:10516-0367
Mailing Address - Country:US
Mailing Address - Phone:845-265-3409
Mailing Address - Fax:
Practice Address - Street 1:115 STONE CROP LN
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:NY
Practice Address - Zip Code:10516-3681
Practice Address - Country:US
Practice Address - Phone:845-265-3409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child