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Organization
PINNACLE TREATMENT CENTERS PA-IV, LLC
Active
Organization
PINNACLE TREATMENT CENTERS PA-IV, LLC
Active
Parent organization
PINNACLE TREATMENT CENTERS, INC
Other names
Summit Treatment Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINNACLE TREATMENT CENTERS, INC
Authorized official
ROBYN TANIS (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
(856) 533-8762
Entity
Organization
Contact information
Practice address
3121 SMALLMAN ST, PITTSBURGH, PA 15201-1425
(412) 255-8717
Mailing address
1317 ROUTE 73 STE 200, MOUNT LAUREL, NJ 08054-2202
(856) 429-6111
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
707252
PA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
707252
STATE LICENSE
PA
Enumeration date
10/15/2014
Last updated
09/09/2021
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