Organization
GWEN'S GIRLS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN KNEZEVICH (EXECUTIVE DIRECTOR)
(412) 731-7670
Entity
Organization
Contact information
Practice address
744 W COMMONS, 3RD FLOOR, PITTSBURGH, PA 15212
(412) 731-7670
Mailing address
744 W COMMONS, 3RD FLOOR, PITTSBURGH, PA 15212
(412) 731-7670
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
104100000X
PA
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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