Organization
TURTLE CREEK VALLEY MH MR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRAN SHEEDY BOST MED (EXECUTIVE DIRECTOR)
(412) 351-0222
Entity
Organization
Contact information
Practice address
1301 5TH AVE, EAST MC KEESPORT, PA 15035-1603
(412) 823-0600
(412) 823-6665
Mailing address
723 BRADDOCK AVE, BRADDOCK, PA 15104-1849
(412) 351-0222
(412) 351-2616
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
422510
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
422510
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007281380070
—
PA
01
—
111270
VALUE OPTIONS
—
01
—
1760666
HIGHMARK
—
01
—
648025
HIGHMARK
—
Enumeration date
03/01/2007
Last updated
06/16/2009
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