Provider Demographics
NPI:1780081620
Name:MENTAL HEALTH ASSOCIATION OF ROCHESTER/MONROE COUNTY, INC.
Entity type:Organization
Organization Name:MENTAL HEALTH ASSOCIATION OF ROCHESTER/MONROE COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-325-3145
Mailing Address - Street 1:274 N GOODMAN ST STE D103
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-1173
Mailing Address - Country:US
Mailing Address - Phone:585-325-3145
Mailing Address - Fax:585-325-3145
Practice Address - Street 1:274 N GOODMAN ST STE D103
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-1173
Practice Address - Country:US
Practice Address - Phone:585-325-3145
Practice Address - Fax:585-325-3188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-20
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable