Organization
HOUSE OF THE CROSSROADS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE JOSEPH DEMARZO (EXECUTIVE DIRECTOR)
(412) 281-5265
Entity
Organization
Contact information
Practice address
2012 CENTRE AVE, PITTSBURGH, PA 15219-6302
(412) 281-5080
(412) 281-4397
Mailing address
2012 CENTRE AVE, PITTSBURGH, PA 15219-6302
(412) 281-5080
(412) 281-4397
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
740096
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01816260
—
PA
Enumeration date
05/16/2008
Last updated
05/16/2008
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