An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Developmental Disabilities |
261QD1600X | |||
Case Management |
251B00000X | |||
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency |
| NPI Number | 1093877045 |
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| LBN Legal business name | GOOD SHEPHERD CENTER | ||||
| Authorized official | BRENDAN MCCORMICK - (EXECUTIVE DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/15/2006 | ||||
| Last updated | 12/02/2015 - About 11 years ago | ||||
| Identifiers |
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