Provider Demographics
NPI: | 1982685657 |
---|---|
Name: | PITTSBURGH PASTORAL INSTITUTE |
Entity Type: | Organization |
Organization Name: | PITTSBURGH PASTORAL INSTITUTE |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR OF INTAKE & CREDENTIALING |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ELIZABETH |
Authorized Official - Middle Name: | M |
Authorized Official - Last Name: | CROSGROVE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 412-661-1239 |
Mailing Address - Street 1: | 1025 LIVERPOOL ST |
Mailing Address - Street 2: | |
Mailing Address - City: | PITTSBURGH |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 15233-1338 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 412-661-1239 |
Mailing Address - Fax: | 412-661-1304 |
Practice Address - Street 1: | 1025 LIVERPOOL ST |
Practice Address - Street 2: | |
Practice Address - City: | PITTSBURGH |
Practice Address - State: | PA |
Practice Address - Zip Code: | 15233-1338 |
Practice Address - Country: | US |
Practice Address - Phone: | 412-661-1239 |
Practice Address - Fax: | 412-661-1304 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2005-11-09 |
Last Update Date: | 2022-07-05 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | 423240 | 251K00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251K00000X | Agencies | Public Health or Welfare |