| Alpha House, Inc | |
|
435 Shady Ave Pittsburgh PA 15206 | |
| (412) 363-4220 | |
| (412) 363-6570 |
| Full Name | Alpha House, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 435 Shady Ave, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Jordan Coughlen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4123634220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha House, Inc 435 Shady Ave Pittsburgh PA 15206 Ph: (412) 363-4220 | Alpha House, Inc 435 Shady Ave Pittsburgh PA 15206 Ph: (412) 363-4220 |
| NPI Number | 1417091331 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 06/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417091331 | NPI | - | NPPES |
| 100731410 | Medicaid | PA | |
| 1007314100001 | Medicaid | PA | |
| 1007314100002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 740086 (Pennsylvania) | Primary |
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