Organization
COMMUNITY EMPOWERMENT ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAYTONA ELODIA GORDON MSLBE (DEPUTY DIRECTOR)
(412) 371-3689
Entity
Organization
Contact information
Practice address
400 N LEXINGTON AVENUE, BUILDING 500, PITTSBURGH, PA 15208
(412) 371-3689
(412) 371-0792
Mailing address
400 N LEXINGTON AVENUE, BUILDING 500, PITTSBURGH, PA 15208
(412) 371-3689
(412) 371-0792
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
1000124
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000124
CCBHO PROMISE
—
01
—
23282
CCBHO PAY ID
PA
Enumeration date
01/11/2008
Last updated
01/11/2008
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