Organization
SOUTHWEST BEHAVIORAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS GARRETT MSW, LSW (EXECUTIVE DIRECTOR)
(724) 489-0215
Entity
Organization
Contact information
Practice address
1929 DAILEY AVE, LATROBE, PA 15650-3087
(724) 532-1700
(724) 532-2769
Mailing address
203 S MAPLE AVE, LOWER LEVEL, GREENSBURG, PA 15601-3216
(724) 853-7550
(724) 853-7613
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
657035
PA
261Q00000X
Clinic/Center
657035
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007401140150
—
PA
01
—
657035
PA STATE LICENSE
PA
Enumeration date
05/10/2007
Last updated
02/23/2024
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