Organization
LAUREL HIGHLANDS FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY W. PEARL (EXECUTIVE DIRECTOR)
(412) 825-9141
Entity
Organization
Contact information
Practice address
1217 MOUNT PLEASANT RD, GREENSBURG, PA 15601-6331
(724) 838-8149
(724) 838-8149
Mailing address
1000 JACKS RUN RD, NORTH VERSAILLES, PA 15137-2744
(412) 825-9141
(412) 825-9456
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
436000
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000021980043
MPI#
PA
01
—
1000021980044
MPI#
PA
Enumeration date
04/12/2007
Last updated
08/22/2020
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