National Provider Identifier
John L Norris Addiction Treatment Center
John L Norris Addiction Treatment Center is listed in the NPPES registry with a primary specialty of Community/Behavioral Health Agency in Rochester, NY and a listed phone number of (585) 461-0410.
Profile Overview
- NPI
- 1194810309
- Provider Type
- Organization
- Primary Specialty
- Community/Behavioral Health Agency
- Enumeration Date
- October 04, 2006
- Last Updated
- August 22, 2020
Practice Location
- 1111 Elmwood Avenue
- Rochester Psychiatric Center
- Rochester, NY 14620-3005
Phone: (585) 461-0410
Specialties
- Community/Behavioral Health Agency (251S00000X)
Full Record
- NPI
- 1194810309
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- John L Norris Addiction Treatment Center
- Mailing Street Address
- 1111 Elmwood Avenue
- Mailing Address Line 2
- Rochester Psychiatric Center
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-3005
- Mailing Country
- US
- Mailing Phone
- (585) 461-0410
- Mailing Fax
- (585) 461-4545
- Practice Street Address
- 1111 Elmwood Avenue
- Practice Address Line 2
- Rochester Psychiatric Center
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3005
- Practice Country
- US
- Practice Phone
- (585) 461-0410
- Practice Fax
- (585) 461-4545
- Enumeration Date
- October 04, 2006
- Last Updated
- August 22, 2020
- Authorized Official Last Name
- Lawler
- Authorized Official First Name
- Michael
- Authorized Official Middle Name
- A
- Authorized Official Title
- Associate Commissioner Division Of
- Authorized Official Phone
- (518) 457-5312
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mr.
- Taxonomies
- Community/Behavioral Health Agency (251S00000X)
- Other Identifiers
- 01421627 (NY)