Provider Demographics
NPI:1326274275
Name:STO-ROX NEIGHBORHOOD CORP.
Entity Type:Organization
Organization Name:STO-ROX NEIGHBORHOOD CORP.
Other - Org Name:FOCUS ON RENEWAL SYSTEM OF CARE INITIATIVE
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:REGIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-771-6460
Mailing Address - Street 1:710 THOMPSON AVENUE
Mailing Address - Street 2:
Mailing Address - City:MCKEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136
Mailing Address - Country:US
Mailing Address - Phone:412-771-3680
Mailing Address - Fax:412-771-3604
Practice Address - Street 1:613 CHARTIERS AVENUE
Practice Address - Street 2:
Practice Address - City:MCKEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136
Practice Address - Country:US
Practice Address - Phone:412-331-2434
Practice Address - Fax:412-771-3604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-05
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health