Healthcare Provider Details

I. General information

NPI: 1720523566
Provider Name (Legal Business Name): CATHOLIC CHARITIES OF THE DIOCESE OF ROCHESTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2017
Last Update Date: 05/03/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 HOBART ST
ROCHESTER NY
14611-2518
US

IV. Provider business mailing address

146 HOBART ST
ROCHESTER NY
14611-2518
US

V. Phone/Fax

Practice location:
  • Phone: 585-336-9034
  • Fax: 585-336-9977
Mailing address:
  • Phone: 585-336-9034
  • Fax: 585-336-9977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: SABRINA MCLEOD
Title or Position: VP OF FINANCE
Credential:
Phone: 585-546-7220