Provider Demographics
NPI:1164791893
Name:JUSTICEWORKS BEHAVIORALCARE, LLC
Entity Type:Organization
Organization Name:JUSTICEWORKS BEHAVIORALCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:HEIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-342-1068
Mailing Address - Street 1:1500 ARDMORE BLVD
Mailing Address - Street 2:SUITE 410
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-4468
Mailing Address - Country:US
Mailing Address - Phone:412-342-1068
Mailing Address - Fax:412-241-6675
Practice Address - Street 1:1500 ARDMORE BLVD
Practice Address - Street 2:SUITE 410
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-4468
Practice Address - Country:US
Practice Address - Phone:412-342-1068
Practice Address - Fax:412-241-6675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-27
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health