National Provider Identifier
Pathway Houses Of Rochester
Pathway Houses Of Rochester is listed in the NPPES registry with a primary specialty of Substance Abuse Rehabilitation Facility in Rochester, NY and a listed phone number of (585) 232-4674.
Profile Overview
- NPI
- 1851700264
- Provider Type
- Organization
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- August 11, 2014
- Last Updated
- August 11, 2014
Practice Location
- 1600 South Ave
- Suite 125
- Rochester, NY 14620-3924
Phone: (585) 232-4674
Specialties
- Substance Abuse Rehabilitation Facility (324500000X)
Full Record
- NPI
- 1851700264
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Pathway Houses Of Rochester
- Mailing Street Address
- 1600 South Ave
- Mailing Address Line 2
- Suite 125
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-3924
- Mailing Country
- US
- Mailing Phone
- (585) 232-4674
- Practice Street Address
- 1600 South Ave
- Practice Address Line 2
- Suite 125
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3924
- Practice Country
- US
- Practice Phone
- (585) 232-4674
- Enumeration Date
- August 11, 2014
- Last Updated
- August 11, 2014
- Authorized Official Last Name
- Smith
- Authorized Official First Name
- Glen
- Authorized Official Title
- Execuitve Director
- Authorized Official Phone
- (585) 232-4674
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- MS.
- Authorized Official Credential Text
- CASAC
- Taxonomies
- Substance Abuse Rehabilitation Facility (324500000X)