Organization · Type 2 NPI

Catholic Charities of the Diocese of Rochester

Substance Abuse Rehabilitation Facility · Newark, NY

NPI number 1548705387 Active

Practice location

407 E Union St
Newark, NY 14513-1609

Fax (315) 331-2301

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

2 other providers at this address

NPI record

NPI: 1548705387
Entity type: Organization (Type 2)
Issued: Jan 4, 2017
Last updated: Nov 2, 2022
Status: Active
Subpart: Yes of Catholic Charities of Diocese of Rochester

Other names

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Catholic Charities Family & Community Services - Hannick Hall · doing business as

Authorized official

Kathleen Johnson
CFO
(585) 546-7220

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1548705387

Catholic Charities of the Diocese of Rochester's National Provider Identifier is 1548705387, issued on Jan 4, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Newark, NY. The record was last updated on Nov 2, 2022.