Provider Demographics
NPI:1033785381
Name:THE HEALING CONNECTION RESIDENTIAL TREATMENT INC.
Entity Type:Organization
Organization Name:THE HEALING CONNECTION RESIDENTIAL TREATMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CHAIR, THE HEALING CONNECTION
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:CARDILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-749-2777
Mailing Address - Street 1:1320 UNIVERSITY AVENUE
Mailing Address - Street 2:THE HEALING CONNECTION RESIDENTIAL TREATMENT INC
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-1622
Mailing Address - Country:US
Mailing Address - Phone:585-749-2777
Mailing Address - Fax:585-641-0286
Practice Address - Street 1:1320 UNIVERSITY AVENUE
Practice Address - Street 2:THE HEALING CONNECTION RESIDENTIAL TREATMENT INC
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-1622
Practice Address - Country:US
Practice Address - Phone:585-749-2777
Practice Address - Fax:585-641-0286
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE HEALING CONNECTION, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness