Organization
FAMILY BEHAVIORAL RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRANT J. KISSEL MS (OUTPATIENT THERAPIST)
(724) 335-9733
Entity
Organization
Contact information
Practice address
3 KENSINGTON SQ, SUITE B, NEW KENSINGTON, PA 15068-6443
(724) 335-9733
(724) 335-9734
Mailing address
3 KENSINGTON SQUARE, SUITE B, NEW KENSINGTON, PA 15068
(724) 335-9733
(724) 335-9734
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000364
CCBHO
PA
05
—
1508933599
—
PA
01
—
184265
UNISON
PA
01
—
206234
UPMC
PA
01
—
330989
VBH
PA
01
—
424947
HEALTH AMERICA
PA
Enumeration date
06/23/2010
Last updated
06/23/2010
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