Provider Demographics
NPI:1225441520
Name:ABILITIES BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:ABILITIES BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:RACE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:773-317-4452
Mailing Address - Street 1:357 SLOPE ST
Mailing Address - Street 2:
Mailing Address - City:WARRIOR RUN
Mailing Address - State:PA
Mailing Address - Zip Code:18706-1903
Mailing Address - Country:US
Mailing Address - Phone:773-317-4452
Mailing Address - Fax:
Practice Address - Street 1:357 SLOPE ST
Practice Address - Street 2:
Practice Address - City:WARRIOR RUN
Practice Address - State:PA
Practice Address - Zip Code:18706
Practice Address - Country:US
Practice Address - Phone:773-317-4452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-04
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Single Specialty