| John L Norris Addiction Treatment Center | |
|
1111 Elmwood Avenue Rochester Psychiatric Center Rochester NY 14620-3005 | |
| (585) 461-0410 | |
| (585) 461-4545 |
| Full Name | John L Norris Addiction Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1111 Elmwood Avenue, Rochester, New York |
| Authorized Official Name and Position | Michael A Lawler (ASSOCIATE COMMISSIONER DIVISION OF) |
| Authorized Official Contact | 5184575312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John L Norris Addiction Treatment Center 1111 Elmwood Avenue Rochester Psychiatric Center Rochester NY 14620-3005 Ph: (585) 461-0410 | John L Norris Addiction Treatment Center 1111 Elmwood Avenue Rochester Psychiatric Center Rochester NY 14620-3005 Ph: (585) 461-0410 |
| NPI Number | 1194810309 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194810309 | NPI | - | NPPES |
| 01421627 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New York) | Primary |
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