Provider Demographics
NPI:1841857471
Name:BADEN STREET SETTLEMENT OF ROCHESTER, INC
Entity type:Organization
Organization Name:BADEN STREET SETTLEMENT OF ROCHESTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-445-6718
Mailing Address - Street 1:152 BADEN ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14605-2054
Mailing Address - Country:US
Mailing Address - Phone:585-445-6718
Mailing Address - Fax:585-546-3777
Practice Address - Street 1:500 N CLINTON AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14605-1811
Practice Address - Country:US
Practice Address - Phone:585-445-6780
Practice Address - Fax:585-232-1393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider Agency