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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
106 E 29TH ST, ERIE, PA 16504-1052
(814) 453-5806
(814) 453-4757
Mailing address
138 E 26TH ST, ERIE, PA 16504-1049
(814) 453-5806
(814) 453-4757

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
401360
PA
261Q00000X
Clinic/Center
425610
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000063480019
PA
Enumeration date
03/29/2007
Last updated
05/23/2008
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