| Interact, Inc. | |
|
2136 Penfield Rd Penfield NY 14526-1736 | |
| (585) 388-8010 | |
| (585) 388-8011 |
| Full Name | Interact, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2136 Penfield Rd, Penfield, New York |
| Authorized Official Name and Position | Christopher John Charleton (PRESIDENT) |
| Authorized Official Contact | 5853888010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interact, Inc. 2136 Penfield Rd Penfield NY 14526-1736 Ph: (585) 388-8010 | Interact, Inc. 2136 Penfield Rd Penfield NY 14526-1736 Ph: (585) 388-8010 |
| NPI Number | 1992916738 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 01/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992916738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 049021-1 (New York) | Primary |
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