Provider Demographics
NPI:1649652876
Name:PITTSBURGH AIDS TASK FORCE
Entity type:Organization
Organization Name:PITTSBURGH AIDS TASK FORCE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:LAFAYETTE
Authorized Official - Last Name:CHRISTEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DRPH
Authorized Official - Phone:412-345-0567
Mailing Address - Street 1:5913 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3818
Mailing Address - Country:US
Mailing Address - Phone:412-345-0567
Mailing Address - Fax:412-345-7457
Practice Address - Street 1:5913 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3818
Practice Address - Country:US
Practice Address - Phone:412-345-0567
Practice Address - Fax:412-345-7457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management