Provider Demographics
NPI:1033541107
Name:THE COMMUNITY PLACE OF GREATER ROCHESTER, INC
Entity Type:Organization
Organization Name:THE COMMUNITY PLACE OF GREATER ROCHESTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-327-7200
Mailing Address - Street 1:57 CENTRAL PARK
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14605
Mailing Address - Country:US
Mailing Address - Phone:585-327-7200
Mailing Address - Fax:585-423-7440
Practice Address - Street 1:500 CARTER STREET
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621
Practice Address - Country:US
Practice Address - Phone:585-336-4688
Practice Address - Fax:585-336-6704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-31
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management