Organization
MON YOUGH COMMUNITY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE CONROY (MANAGED CARE COORDINATOR)
(412) 675-8533
Entity
Organization
Contact information
Practice address
1306 PARK ST, MCKEESPORT, PA 15132-4829
(412) 675-8533
(412) 675-8920
Mailing address
1306 PARK ST, MCKEESPORT, PA 15132
(412) 675-8533
(412) 675-8920
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
426720
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000009800096
—
PA
Enumeration date
09/26/2008
Last updated
09/26/2008
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