Organization
CATHOLIC CHARITIES DIOCESE OF ROCHESTER
Active
Parent organization
CATHOLIC CHARITIES OF THE DIOCESE OF ROCHESTER
Other names
Catholic Charities of Livingston County
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC CHARITIES OF THE DIOCESE OF ROCHESTER
Authorized official
MRS. TABITHA JON BREWSTER M.S. (EXECUTIVE DIRECTOR)
(585) 658-4466
Entity
Organization
Contact information
Practice address
34 E STATE ST, MOUNT MORRIS, NY 14510-9727
(585) 658-4466
(585) 658-2513
Mailing address
34 E STATE ST, MOUNT MORRIS, NY 14510-9727
(585) 658-4466
(585) 658-2513
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
305R00000X
Preferred Provider Organization
Primary
—
—
305S00000X
Point of Service
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04439209
—
NY
Enumeration date
07/30/2015
Last updated
08/18/2016
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