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Organization

UPMC BEHAVIORAL HEALTH OF THE ALLEGHENIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK CHUFF (EXECUTIVE DIRECTOR)
(814) 940-7457
Entity
Organization

Contact information

Practice address
500 E CHESTNUT AVE, CENTER FOR COUNSELING, ALTOONA, PA 16601-5215
(814) 943-0414
(814) 943-6198
Mailing address
500 E CHESTNUT AVE, ALTOONA, PA 16601-5215
(412) 246-5050
(412) 246-5690

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
311650
PA
251S00000X
Community/Behavioral Health Agency
261Q00000X
Clinic/Center
311650
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
311650
PA
261QM0850X
Adult Mental Health Clinic/Center
311650
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
311650
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000007650025
PA
01
114514
VALUE OPTIONS
PA
01
1652320
HIGHMARK BLUE CARD
PA
01
263087
HIGHMARK & PA BLUE SHIELD
PA
01
311650
STATE LICENSE
PA
Enumeration date
11/22/2006
Last updated
10/29/2018
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