Organization
TURTLE CREEK VALLEY MENTAL HEALTH MENTAL RETARDATION INC
Active
Organization
TURTLE CREEK VALLEY MENTAL HEALTH MENTAL RETARDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES SHEEDY BOST (EXECUTIVE DIRECTOR)
(412) 351-0222
Entity
Organization
Contact information
Practice address
1800 WEST ST, HOMESTEAD, PA 15120-2578
(412) 462-9901
(412) 462-4901
Mailing address
723 BRADDOCK AVE, BRADDOCK, PA 15104-1849
(412) 351-0222
(412) 351-2616
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
422510
PA
261QM0850X
Adult Mental Health Clinic/Center
422510
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007281380029
—
PA
05
—
1007281380051
—
PA
01
—
1040548
GATEWAY HEALTH PLAN MEDICARE ASSURED
PA
01
—
111270
VALUE OPTIONS
—
01
—
17606666
HIGHMARK
—
01
—
1760672
HIGHMARK
—
01
—
340652
TRICARE CAMPUS
—
01
—
648025
HIGHMARK
—
01
—
IG001416
MAGELLAN
—
Enumeration date
02/20/2007
Last updated
08/17/2009
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