| NPI | 1689891178 |
|---|---|
| Doing Business As | PARK RIDGE CHEMICAL DEPENDENCY OP |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS STEWART President Health Care Services 585-723-7185 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2015-01-14 |