Organization
PRCD, INC.
Active
Other names
Adolescent Community Residence
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS STEWART (PRESIDENT HEALTH CARE SERVICES)
(585) 723-7185
Entity
Organization
Contact information
Practice address
2654 RIDGEWAY AVE, ROCHESTER, NY 14626-4209
(585) 723-7350
(585) 723-7353
Mailing address
2654 RIDGEWAY AVE, ROCHESTER, NY 14626-4209
(585) 723-7350
(585) 723-7353
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02754676
—
NY
Enumeration date
01/15/2007
Last updated
01/14/2015
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