Provider Demographics
NPI:1326481631
Name:THREE RIVERS YOUTH
Entity Type:Organization
Organization Name:THREE RIVERS YOUTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:B
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-441-5020
Mailing Address - Street 1:6117 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3011
Mailing Address - Country:US
Mailing Address - Phone:412-441-5020
Mailing Address - Fax:412-441-5021
Practice Address - Street 1:6117 BROAD ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3011
Practice Address - Country:US
Practice Address - Phone:412-441-5020
Practice Address - Fax:412-441-5021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management