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Organization
HILLSIDE CHILDRENS CENTER
Active
Organization
HILLSIDE CHILDRENS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL E PERROTTO (CFO CORPORATE TREASURER)
(585) 256-7867
Entity
Organization
Contact information
Practice address
2075 SCOTTSVILLE ROAD, ROCHESTER, NY 14623
(585) 429-2700
(585) 429-2800
Mailing address
PO BOX 23805, ROCHESTER, NY 14692-3805
(585) 654-1418
(585) 654-1450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00343559
—
NY
05
—
00357286
—
NY
05
—
00788041
—
NY
01
—
106345EU
PREFERRED CARE
—
01
—
77
BCBS
—
01
—
P014005951
EXCELLUS BLUE CHOICE
—
Enumeration date
10/11/2006
Last updated
08/18/2014
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