Whalio Doctors

NPI 1669709176

Crestwood Children's Center

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Rochester, NY

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
Residential Treatment Facilities Taxonomy 322D00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X

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.