National Provider Identifier
Conifer Park, Inc.
Conifer Park, Inc. is listed in the NPPES registry with a primary specialty of Substance Use Disorder Rehabilitation Clinic/Center in Rochester, NY and a listed phone number of (585) 442-8422.
Source: public NPPES record, last updated April 29, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1235185612
- Provider Type
- Organization
- Primary Specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Enumeration Date
- May 26, 2006
- Last Updated
- April 29, 2021
Practice Location
- 556 Clinton Ave S
- Rochester, NY 14620-1105
Phone: (585) 442-8422
Mailing Address
- PO Box 10092
- Albany, NY 12201-5092
Authorized Official
- Name
- MS. Tammy Smith
- Title
- Director, Op Billing Dept
- Phone
- (518) 952-8408
Specialties
- Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X)
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Organization Overview
Conifer Park, Inc., also known locally as Conifer Park’s Rochester Outpatient, is a Rochester, New York substance-use treatment provider. The New York State OASAS directory lists Conifer Park, Inc. in Rochester as an outpatient clinic program, and the organization says the Rochester clinic offers clinical and intensive outpatient care for adults and families, including dual-focus care, DWI evaluations, relapse prevention, medication support, and specialized programming. Conifer Park describes itself as operating since 1983, with multiple outpatient locations and a larger treatment network under Liberty Behavioral Management Corp.
Full Record
- NPI
- 1235185612
- Entity Type
- Organization
- Organization Name
- Conifer Park, Inc.
- Mailing Street Address
- PO Box 10092
- Mailing City
- Albany
- Mailing State
- NY
- Mailing ZIP Code
- 12201-5092
- Mailing Country
- US
- Mailing Phone
- (518) 952-8408
- Mailing Fax
- (518) 399-6860
- Practice Street Address
- 556 Clinton Ave S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-1105
- Practice Country
- US
- Practice Phone
- (585) 442-8422
- Enumeration Date
- May 26, 2006
- Last Updated
- April 29, 2021
- Authorized Official Last Name
- Smith
- Authorized Official First Name
- Tammy
- Authorized Official Title
- Director, Op Billing Dept
- Authorized Official Phone
- (518) 952-8408
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- MS.
- Certification Date
- April 29, 2021
- Taxonomies
- Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X)
- Other Identifiers
- 01420800 (NY)