Organization
FAMILYLINKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED MASSEY (CHIEF EXECUTIVE OFFICEER)
(412) 942-0168
Entity
Organization
Contact information
Practice address
2644 BANKSVILLE RD, PITTSBURGH, PA 15216-2812
(412) 942-0525
Mailing address
2644 BANKSVILLE RD, PITTSBURGH, PA 15216-2812
(412) 942-0525
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CW006267L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001338140006
—
PA
01
—
279773
VALUE OPTIONS
PA
Enumeration date
10/16/2006
Last updated
08/22/2020
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