Organization
STAIRWAYS BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS KIRKWOOD (CFO)
(814) 453-5806
Entity
Organization
Contact information
Practice address
2910 STATE ST, ERIE, PA 16508-1832
(814) 454-5686
Mailing address
138 E 26TH ST, ERIE, PA 16504-1049
(814) 453-5806
(814) 453-4757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
257073
PA
261Q00000X
Clinic/Center
Primary
257073
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000063480017
—
PA
Enumeration date
04/02/2007
Last updated
05/23/2008
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