| Innovative Behavioral Medicine Llc | |
|
201 Penn Center Blvd Ste 457 Pittsburgh PA 15235-5435 | |
| (412) 439-1251 | |
| (412) 291-3003 |
| Full Name | Innovative Behavioral Medicine Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 201 Penn Center Blvd Ste 457, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Christopher J Goisse (CFO) |
| Authorized Official Contact | 7249848645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Behavioral Medicine Llc 201 Penn Center Blvd Ste 457 Pittsburgh PA 15235-5435 Ph: (412) 439-1251 | Innovative Behavioral Medicine Llc 201 Penn Center Blvd Ste 457 Pittsburgh PA 15235-5435 Ph: (412) 439-1251 |
| NPI Number | 1093367633 |
|---|---|
| Provider Enumeration Date | 07/13/2019 |
| Last Update Date | 07/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093367633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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