Organization
SHARON REGIONAL HEALTH SYSTEM
Active
Other names
SRHS Outpatient Psych & Wraparound
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF A CHROBAK (VICE PRESIDENT FOR FINANCE)
(724) 983-3815
Entity
Organization
Contact information
Practice address
2375 GARDEN WAY, HERMITAGE, PA 16148-5209
(724) 983-5494
(724) 983-5428
Mailing address
699 E STATE ST, SRHS BUSINESS OFFICE, SHARON, PA 16146-2057
(724) 983-3817
(724) 983-3941
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
404840
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
404840
PA
261QM0850X
Adult Mental Health Clinic/Center
404840
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
404840
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000000590031
—
PA
05
—
1000000590063
—
PA
05
—
1000000590069
—
PA
Enumeration date
07/18/2006
Last updated
10/27/2007
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