Organization
SHARON PENNSYLVANIA HOSPITAL COMPANY LLC
Active
Other names
SRHS Substance Abuse Facility
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization
Contact information
Practice address
740 E STATE ST, SHARON, PA 16146-3328
(724) 983-3924
(724) 983-3843
Mailing address
699 E STATE ST, SHARON, PA 16146-2057
(724) 983-3817
(724) 983-3941
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
404840
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1221
HIGHMARK SUBSTANCE ABUSE
—
Enumeration date
03/19/2014
Last updated
03/19/2014
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