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Organization

PASSAVANT MEMORIAL HOMES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE BROWN (UTILIZATION COORDINATOR)
(412) 820-1010
Entity
Organization

Contact information

Practice address
100 PASSAVANT WAY, PITTSBURGH, PA 15238-1318
(412) 820-1010
(412) 820-1025
Mailing address
100 PASSAVANT WAY, PITTSBURGH, PA 15238-1318
(412) 820-1010
(412) 820-1025

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
163W00000X
Registered Nurse
164W00000X
Licensed Practical Nurse
251S00000X
Community/Behavioral Health Agency
439240
PA
261QM0850X
Adult Mental Health Clinic/Center
409250
PA
261QM0850X
Adult Mental Health Clinic/Center
465150
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100001216
MASTER PROVIDER INDEX
PA
Enumeration date
08/31/2007
Last updated
04/13/2021
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