Organization
ALPHA HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORDAN COUGHLEN MPH, MSW (EXECUTIVE DIRECTOR)
(412) 363-4220
Entity
Organization
Contact information
Practice address
435 SHADY AVE, PITTSBURGH, PA 15206
(412) 363-4220
(412) 363-6570
Mailing address
435 SHADY AVE, PITTSBURGH, PA 15206
(412) 363-4220
(412) 363-6570
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
740086
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100731410
—
PA
05
—
1007314100001
—
PA
05
—
1007314100002
—
PA
Enumeration date
02/16/2007
Last updated
06/28/2019
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