Provider Demographics
NPI:1912203027
Name:COMMUNITY SPECIALISTS CORPORATION
Entity Type:Organization
Organization Name:COMMUNITY SPECIALISTS CORPORATION
Other - Org Name:THE ACADEMY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:WENTZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-885-5200
Mailing Address - Street 1:900 AGNEW RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-3902
Mailing Address - Country:US
Mailing Address - Phone:412-885-5200
Mailing Address - Fax:
Practice Address - Street 1:900 AGNEW RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-3902
Practice Address - Country:US
Practice Address - Phone:412-885-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA424770261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health