Provider Demographics
NPI:1841218757
Name:MILESTONE CENTERS INC.
Entity Type:Organization
Organization Name:MILESTONE CENTERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNIFF
Authorized Official - Suffix:
Authorized Official - Credentials:ACSW
Authorized Official - Phone:412-371-7391
Mailing Address - Street 1:712 SOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-2940
Mailing Address - Country:US
Mailing Address - Phone:412-243-3400
Mailing Address - Fax:412-244-4797
Practice Address - Street 1:712 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-2940
Practice Address - Country:US
Practice Address - Phone:412-243-3400
Practice Address - Fax:412-244-4797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
PA422430251S00000X, 261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA632074OtherHIGHMARK ID NUM.
PA1015552OtherGATEWAY MED. ASSURED ID
PA1000025900084Medicaid
PA1000025900085Medicaid
PA1000025900085Medicaid