Organization
INNOVATIVE BEHAVIORAL MEDICINE LLC
Active
Other names
Innovative Behavioral Medicine LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER J GOISSE MBA (CFO)
(724) 984-8645
Entity
Organization
Contact information
Practice address
201 PENN CENTER BLVD STE 457, PITTSBURGH, PA 15235-5435
(412) 439-1251
(412) 291-3003
Mailing address
201 PENN CENTER BLVD STE 457, PITTSBURGH, PA 15235-5435
(412) 439-1251
(412) 291-3003
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
07/13/2019
Last updated
07/13/2019
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