| NPI | 1649464769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BROWN Utilization Coordinator 412-820-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| 251S00000X (Licence: PA 439240) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA 465150) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA 409250) | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2021-04-13 |