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Organization

JADE WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABBIE SCANIO (VICE PRESIDENT)
(412) 380-0100
Entity
Organization

Contact information

Practice address
4105 MONROEVILLE BLVD, MONROEVILLE, PA 15146-2607
(412) 380-0100
(412) 380-0200
Mailing address
4105 MONROEVILLE BLVD, MONROEVILLE, PA 15146-2607
(412) 380-0100
(412) 380-0200

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
707270
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1024568880001
PA
Enumeration date
03/19/2018
Last updated
03/19/2018
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