Organization
MON YOUGH COMMUNITY SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOREEN FREDERICK (CEO)
(412) 673-8035
Entity
Organization
Contact information
Practice address
801 SHAW AVE, APT 7, MCKEESPORT, PA 15132-3301
(412) 673-4419
(412) 675-8420
Mailing address
500 WALNUT ST, 3RD FLOOR, MCKEESPORT, PA 15132
(412) 675-8533
(412) 675-8920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/13/2006
Last updated
01/17/2008
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