Organization
PRESSLEY RIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORA KOST (BILLING SUPERVISOR)
(412) 872-9422
Entity
Organization
Contact information
Practice address
2580 GRANT GDNS, ONA, WV 25545-9731
(304) 296-0944
(304) 296-9562
Mailing address
5500 CORPORATE DR STE 400, PITTSBURGH, PA 15237-5848
(412) 872-9422
(412) 872-9478
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030253917
—
WV
Enumeration date
06/10/2021
Last updated
06/10/2021
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