Provider Demographics
NPI:1639335631
Name:RESIDENTIAL CARE SERVICES, INC.
Entity Type:Organization
Organization Name:RESIDENTIAL CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT EXECUTIVE DIRECTOR/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:CLOHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-271-2990
Mailing Address - Street 1:2400 ARDMORE BLVD
Mailing Address - Street 2:SUITE 601
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-5299
Mailing Address - Country:US
Mailing Address - Phone:412-271-2990
Mailing Address - Fax:412-271-2947
Practice Address - Street 1:2400 ARDMORE BLVD
Practice Address - Street 2:SUITE 601
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-5299
Practice Address - Country:US
Practice Address - Phone:412-271-2990
Practice Address - Fax:412-271-2947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA471000320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness