Provider Demographics
NPI:1538465380
Name:BIG BROTHERS BIG SISTERS OF BEAVER COUNTY
Entity Type:Organization
Organization Name:BIG BROTHERS BIG SISTERS OF BEAVER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOFRANKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-843-4600
Mailing Address - Street 1:1475 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:15066-2201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1475 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW BRIGHTON
Practice Address - State:PA
Practice Address - Zip Code:15066-2201
Practice Address - Country:US
Practice Address - Phone:724-843-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management