| NPI | 1992281125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL B GARCIA Program Sponor 412-996-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: PA OS012298) |
| Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine (Licence: PA OS012298) |
| 207QB0002X Family Medicine Obesity Medicine (Licence: PA OS012298) | |
| 251S00000X Community/Behavioral Health (Licence: PA OS012298) | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: PA OS012298) | |
| 261QM0850X Clinic/Center Adult Mental Health (Licence: PA OS012298) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: PA OS012298) | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-24 |