Organization
MON YOUGH COMMUNITY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE R CONROY (MANAGED CARE COORDINATOR)
(412) 675-8533
Entity
Organization
Contact information
Practice address
335 SHAW AVE, MCKEESPORT, PA 15132-2918
(412) 675-8533
(412) 675-8920
Mailing address
335 SHAW AVE, MCKEESPORT, PA 15132-2918
(412) 675-8533
(412) 675-8920
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000980
—
PA
01
—
648059
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/12/2007
Last updated
03/30/2011
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