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
StateLicense IDTaxonomies
PA423240251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare