| NPI | 1255482535 |
|---|---|
| Doing Business As | ADOLESCENT COMMUNITY RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS STEWART President Health Care Services 585-723-7185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2015-01-14 |