Organization
RECOVER COLLABORATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC GRILLS (DIRECTOR OF BILLING AND FINANCE)
(585) 698-8694
Entity
Organization
Contact information
Practice address
23 KERRY PARK, PITTSFORD, NY 14534-2613
(585) 698-8694
Mailing address
23 KERRY PARK, PITTSFORD, NY 14534-2613
(585) 698-8694
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932721271
—
NY
Enumeration date
04/11/2021
Last updated
04/11/2021
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