Provider Demographics
NPI:1356769517
Name:WATSON INSTITUTE FRIENDSHIP ACADEMY
Entity type:Organization
Organization Name:WATSON INSTITUTE FRIENDSHIP ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:STARZYNSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:412-365-3868
Mailing Address - Street 1:255 S NEGLEY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3522
Mailing Address - Country:US
Mailing Address - Phone:412-365-3868
Mailing Address - Fax:
Practice Address - Street 1:255 S NEGLEY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3522
Practice Address - Country:US
Practice Address - Phone:412-365-3868
Practice Address - Fax:412-361-6775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW002438E283Q00000X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No283Q00000XHospitalsPsychiatric Hospital