Provider Demographics
NPI:1952798217
Name:NATIONAL CENTER FOR EQUINE FACILITATED THERAPY
Entity Type:Organization
Organization Name:NATIONAL CENTER FOR EQUINE FACILITATED THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GARI
Authorized Official - Middle Name:
Authorized Official - Last Name:MERENDINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-851-2271
Mailing Address - Street 1:880 RUNNYMEDE RD
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:94062-4132
Mailing Address - Country:US
Mailing Address - Phone:650-851-2271
Mailing Address - Fax:650-851-3480
Practice Address - Street 1:880 RUNNYMEDE RD
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:CA
Practice Address - Zip Code:94062-4132
Practice Address - Country:US
Practice Address - Phone:650-851-2271
Practice Address - Fax:650-851-3480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine