| Srhs Behavioral Hlth Kitestrings Program | |
|
2375 Garden Way Hermitage PA 16148-5209 | |
| (724) 983-5466 | |
| (724) 983-5446 |
| Full Name | Srhs Behavioral Hlth Kitestrings Program |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2375 Garden Way, Hermitage, Pennsylvania |
| Authorized Official Name and Position | Jeff A Chrobak (VICE PRESIDENT FOR FINANCE) |
| Authorized Official Contact | 7249833815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Srhs Behavioral Hlth Kitestrings Program 699 E State St Sharon PA 16146-2057 Ph: (724) 983-3817 | Srhs Behavioral Hlth Kitestrings Program 2375 Garden Way Hermitage PA 16148-5209 Ph: (724) 983-5466 |
| NPI Number | 1487767315 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487767315 | NPI | - | NPPES |
| 1000000590099 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 401270 (Pennsylvania) | Primary |
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