| Mental Health Outpatient Services | |
|
81 Lake Ave Evelyn Brandon Health Center Rochester NY 14608-1410 | |
| (585) 368-6900 | |
| Not Available |
| Full Name | Mental Health Outpatient Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 81 Lake Ave, Rochester, New York |
| Authorized Official Name and Position | Douglas Stewart (PRESIDENT HEATLH CARE SERVICES) |
| Authorized Official Contact | 5857237185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Outpatient Services 81 Lake Ave Evelyn Brandon Health Center Rochester NY 14608-1410 Ph: (585) 368-6900 | Mental Health Outpatient Services 81 Lake Ave Evelyn Brandon Health Center Rochester NY 14608-1410 Ph: (585) 368-6900 |
| NPI Number | 1336366822 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 01/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336366822 | NPI | - | NPPES |
| 14005947 | Other | NY | BLUE CHOICE |
| 00378721 | Medicaid | NY | |
| WM | Other | NY | BLUE CROSS |
| FA1013 | Other | NY | PREFERRED CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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