| NPI | 1225894470 |
|---|---|
| Doing Business As | THE LODGE AT BEARWALLOW |
| Entity Type | Organization |
| Authorized Contact | BRETT MCGENNIS COO 412-742-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |