NPI 1114302247

Catholic Charities Diocese of Rochester

Organisation Preferred Provider Organization Mount Morris, NY

Practice location

Address: 34 E State St, Mount Morris, NY 14510-9727
Phone: (585) 658-4466
Fax: (585) 658-2513

Authorised official

Name: Tabitha Jon Brewster
Title: Executive Director
Phone: (585) 658-4466

Registered specialties (4)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Point of Service

Managed Care Organizations Taxonomy 305S00000X

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Registry record

NPI: 1114302247
Entity type: Organization
NPI issued: 30 Jul 2015
Record last updated: 18 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.