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
1183 MONROE AVENUE, ROCHESTER, NY 14620
(585) 256-7500
(585) 256-7880
Mailing address
PO BOX 10231, ALBANY, NY 12201-5231
(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
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00353219
—
NY
05
—
00727573
—
NY
05
—
00969333
—
NY
05
—
01405729
—
NY
05
—
01421085
—
NY
05
—
01934409
—
NY
05
—
01999540
—
NY
05
—
02205865
—
NY
05
—
02247212
—
NY
05
—
02494719
—
NY
05
—
02553708
—
NY
05
—
02711580
—
NY
01
—
P0120059HS
EXCELLUS
—
Enumeration date
10/11/2006
Last updated
04/19/2016
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