Provider Demographics
NPI:1912186461
Name:COMMUNITY EMPOWERMENT ASSOCIATION, INC
Entity Type:Organization
Organization Name:COMMUNITY EMPOWERMENT ASSOCIATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RASHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRDSONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-371-3689
Mailing Address - Street 1:7120 KELLY ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15208-1843
Mailing Address - Country:US
Mailing Address - Phone:412-371-3689
Mailing Address - Fax:412-371-0792
Practice Address - Street 1:7120 KELLY ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15208-1843
Practice Address - Country:US
Practice Address - Phone:412-371-3689
Practice Address - Fax:412-371-0792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA4439302084P0800X
PA101043032251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101043032OtherCOMMUNITY CARE