Provider Demographics
NPI:1073945408
Name:MHY FAMILY SERVICES
Entity Type:Organization
Organization Name:MHY FAMILY SERVICES
Other - Org Name:MHY FAMILY SERVICES-RYMAN
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:724-625-3141
Mailing Address - Street 1:521 ROUTE 228
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-3123
Mailing Address - Country:US
Mailing Address - Phone:724-625-3141
Mailing Address - Fax:724-625-2226
Practice Address - Street 1:521 ROUTE 228
Practice Address - Street 2:
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-3123
Practice Address - Country:US
Practice Address - Phone:724-625-3141
Practice Address - Fax:724-625-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA410950322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children