Organization
MARY CARIOLA CHILDREN'S CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA LYNN BRINK (DIRECTOR OF COMMUNITY SERVICES)
(585) 298-0389
Entity
Organization
Contact information
Practice address
6239 PITTSFORD PALMYRA RD, FAIRPORT, NY 14450-3123
(585) 223-7847
Mailing address
8167 FEATHER ST, NAPLES, NY 14512-9238
(585) 223-7847
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
482354
NY
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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