Organization
THE PROGRAMFOOFFENDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC VALERI 04/28/2014 (PROFESSIONAL COUNSELOR)
(412) 535-4343
Entity
Organization
Contact information
Practice address
2410 5TH AVE, PITTSBURGH, PA 15213-3019
(412) 535-4343
Mailing address
2410 5TH AVE, PITTSBURGH, PA 15213-3019
(412) 535-4343
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
PC007577
PA
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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