Provider Demographics
NPI:1780207399
Name:HUMAN SERVICE ADMINISTRATION ORGANIZATION
Entity Type:Organization
Organization Name:HUMAN SERVICE ADMINISTRATION ORGANIZATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:WUENSTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-301-8231
Mailing Address - Street 1:2801 CUSTER AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-3941
Mailing Address - Country:US
Mailing Address - Phone:412-884-4500
Mailing Address - Fax:412-885-3900
Practice Address - Street 1:2801 CUSTER AVE STE 1
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-3941
Practice Address - Country:US
Practice Address - Phone:412-884-4500
Practice Address - Fax:412-885-3900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management