Organization · Type 2 NPI

Catholic Charities of the Diocese of Rochester

Substance Abuse Rehabilitation Facility · Rochester, NY

NPI number 1639614472 Active

Practice location

997 Saint Paul St
Rochester, NY 14605-1051

Fax (585) 266-0214

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

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NPI record

NPI: 1639614472
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 - Liberty Manor · doing business as
Catholic Family Center Restart Liberty Manor · 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 1639614472

Catholic Charities of the Diocese of Rochester's National Provider Identifier is 1639614472, issued on Jan 4, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Rochester, NY. The record was last updated on Nov 2, 2022.