Provider Demographics
NPI:1679606263
Name:MHY FAMILY SERVICES
Entity Type:Organization
Organization Name:MHY FAMILY SERVICES
Other - Org Name:MARS HOME FOR YOUTH
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:724-625-3141
Mailing Address - Street 1:521 ROUTE 228
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-3123
Mailing Address - Country:US
Mailing Address - Phone:724-625-3141
Mailing Address - Fax:724-625-2226
Practice Address - Street 1:521 ROUTE 228
Practice Address - Street 2:
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-3123
Practice Address - Country:US
Practice Address - Phone:724-625-3141
Practice Address - Fax:724-625-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR412620322D00000X
PA411020323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children