Provider Demographics
NPI:1093104796
Name:RECOVERY UNITED PITTSBURGH FOUNDATION INC.
Entity Type:Organization
Organization Name:RECOVERY UNITED PITTSBURGH FOUNDATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-339-6787
Mailing Address - Street 1:158 WOODHALL DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-2925
Mailing Address - Country:US
Mailing Address - Phone:412-339-6787
Mailing Address - Fax:412-502-5122
Practice Address - Street 1:409 DINWIDDIE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-3367
Practice Address - Country:US
Practice Address - Phone:412-291-8038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-19
Last Update Date:2015-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA707283251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health