Organization
CPP BEHAVIORAL HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY PONKO (CFO)
(724) 550-4343
Entity
Organization
Contact information
Practice address
180 N GALLATIN AVE, UNIONTOWN, PA 15401-2969
(724) 550-4343
Mailing address
180 N GALLATIN AVE, UNIONTOWN, PA 15401-2969
(724) 550-4343
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
444760
PA
251S00000X
Community/Behavioral Health Agency
444760
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10280554000001
—
PA
01
—
267020
PA DEPT OF HEALTH
PA
05
—
444760
—
PA
Enumeration date
01/19/2013
Last updated
08/14/2021
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