Organization
MARY CARIOLA CHILDREN'S CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL C. SCOTT MSW (PRESIDENT)
(585) 271-2897
Entity
Organization
Contact information
Practice address
2575 BROWNCROFT BLVD, ROCHESTER, NY 14625-1528
(585) 385-1082
(585) 383-1680
Mailing address
1000 ELMWOOD AVE, SUITE 100, ROCHESTER, NY 14620-3042
(585) 271-2897
(585) 442-9985
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
6083440
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00356978
—
NY
Enumeration date
11/14/2006
Last updated
08/22/2020
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