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Organization

JAMES & CHAROLETTE ENTERPRISES INC.

Active
Other names
Mt. Washington Psychiatric services
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH CHESLEIGH (ADMINISTRATIVE SUPERVISOR)
(412) 431-0711
Entity
Organization

Contact information

Practice address
160 SOUTHERN AVE, PITTSBURGH, PA 15211-1910
(412) 431-0711
(412) 431-0732
Mailing address
160 SOUTHERN AVE, PITTSBURGH, PA 15211-1910
(412) 431-0711
(412) 431-0732

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
1041C0700X
Clinical Social Worker
163WP0808X
Psychiatric/Mental Health Registered Nurse
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100751029-0002
PA
01
1528183
CBHNP
PA
01
669514
KEYSTONE HEALTH PLAN WEST
PA
01
7771371
AETNA
PA
01
A895014
VALUE OPTIONS
PA
Enumeration date
08/31/2006
Last updated
12/22/2010
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