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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