Provider Demographics
NPI:1689075608
Name:SILVERMIST L.L.C.
Entity Type:Organization
Organization Name:SILVERMIST L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCHAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-589-1298
Mailing Address - Street 1:130 CRITCHLOW SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:RENFREW
Mailing Address - State:PA
Mailing Address - Zip Code:16053-9437
Mailing Address - Country:US
Mailing Address - Phone:724-481-1284
Mailing Address - Fax:
Practice Address - Street 1:130 CRITCHLOW SCHOOL RD
Practice Address - Street 2:
Practice Address - City:RENFREW
Practice Address - State:PA
Practice Address - Zip Code:16053-9437
Practice Address - Country:US
Practice Address - Phone:724-481-1284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder