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3418 Penn Ave Pittsburgh PA 15201-1304 | |
| (267) 216-7751 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3418 Penn Ave, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Angelica Victoria Daniele (DIRECTOR) |
| Authorized Official Contact | 2672167751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3418 Penn Ave Pittsburgh PA 15201-1304 Ph: (267) 216-7751 | 3418 Penn Ave Pittsburgh PA 15201-1304 Ph: (267) 216-7751 |
| NPI Number | 1285440453 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285440453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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