Provider Demographics
NPI:1023538527
Name:SOUTHWESTERN PENNSYLVANIA AREA
Entity Type:Organization
Organization Name:SOUTHWESTERN PENNSYLVANIA AREA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:T
Authorized Official - Last Name:GRENFELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-489-8080
Mailing Address - Street 1:300 CHAMBER PLZ STE 305
Mailing Address - Street 2:
Mailing Address - City:CHARLEROI
Mailing Address - State:PA
Mailing Address - Zip Code:15022-1607
Mailing Address - Country:US
Mailing Address - Phone:724-489-8080
Mailing Address - Fax:724-483-9360
Practice Address - Street 1:300 CHAMBER PLZ STE 305
Practice Address - Street 2:
Practice Address - City:CHARLEROI
Practice Address - State:PA
Practice Address - Zip Code:15022-1607
Practice Address - Country:US
Practice Address - Phone:724-489-8080
Practice Address - Fax:724-483-9360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management