Provider Demographics
NPI:1578751475
Name:THE PREVENTION NETWORK
Entity Type:Organization
Organization Name:THE PREVENTION NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PROJECT DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:724-869-2222
Mailing Address - Street 1:270 OHIO RIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:BADEN
Mailing Address - State:PA
Mailing Address - Zip Code:15005-1914
Mailing Address - Country:US
Mailing Address - Phone:724-869-2222
Mailing Address - Fax:724-869-3155
Practice Address - Street 1:270 OHIO RIVER BLVD
Practice Address - Street 2:
Practice Address - City:BADEN
Practice Address - State:PA
Practice Address - Zip Code:15005-1914
Practice Address - Country:US
Practice Address - Phone:724-869-2222
Practice Address - Fax:724-869-3155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA047050251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health