Provider Demographics
NPI:1104006485
Name:SYNERGY BEHAVIORAL HEALTHCARE MANAGEMENT,LP
Entity Type:Organization
Organization Name:SYNERGY BEHAVIORAL HEALTHCARE MANAGEMENT,LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:GRABOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MHS, FACMHA
Authorized Official - Phone:724-847-8012
Mailing Address - Street 1:1008 7TH AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-4530
Mailing Address - Country:US
Mailing Address - Phone:724-847-8012
Mailing Address - Fax:724-847-8013
Practice Address - Street 1:1008 7TH AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-4530
Practice Address - Country:US
Practice Address - Phone:724-847-8012
Practice Address - Fax:724-847-8013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management