Organization
TURTLE CREEK VALLEY MH/MR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY MONAHAN GRYSTAR LSW (EXECUTIVE DIRECTOR)
(412) 351-0222
Entity
Organization
Contact information
Practice address
1705 MAPLE ST, HOMESTEAD, PA 15120-1800
(412) 461-4100
(412) 461-7096
Mailing address
723 BRADDOCK AVE, BRADDOCK, PA 15104-1849
(412) 351-0222
(412) 351-2616
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007281380104
—
PA
Enumeration date
02/11/2008
Last updated
02/11/2008
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