Provider Demographics
NPI:1184746091
Name:CENTER FOR SPIRITUALITY IN 12 STEP RECOVERY
Entity type:Organization
Organization Name:CENTER FOR SPIRITUALITY IN 12 STEP RECOVERY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ELSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-247-2750
Mailing Address - Street 1:900 REBECCA AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-2938
Mailing Address - Country:US
Mailing Address - Phone:412-247-2750
Mailing Address - Fax:412-247-2751
Practice Address - Street 1:900 REBECCA AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-2938
Practice Address - Country:US
Practice Address - Phone:412-247-2750
Practice Address - Fax:412-247-2751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management