NPI 1669709176
Crestwood Children's Center
Practice location
- Address
- 1183 Monroe Ave, Rochester, NY 14620-1662
- Phone
- (585) 654-1418
- Fax
- (585) 654-1450
Authorised official
- Name
- Gary Antinone
- Title
- Accounts Receivable
- Phone
- (585) 654-1418
Registered specialties (2)
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Registry record
- NPI
- 1669709176
- Entity type
- Organization
- NPI issued
- 5 Nov 2009
- Record last updated
- 5 Nov 2009
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.