Organization
CPCDS/AMBULATORY DETOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND ALBERT METZ (R.N.)
(412) 551-8273
Entity
Organization
Contact information
Practice address
512 MALABAR DR., PITTSBURGH., PA 15239-2526
(724) 327-4277
Mailing address
512 MALABAR DR, PITTSBURGH, PA 15239-2526
(724) 327-4277
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
RN303756L
PA
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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