Provider Demographics
NPI:1740541747
Name:WPIC/CHS
Entity type:Organization
Organization Name:WPIC/CHS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATICE CASE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:JEANETTE
Authorized Official - Last Name:WYLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN/ACM
Authorized Official - Phone:412-204-9052
Mailing Address - Street 1:5231 PENN AVE.
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224
Mailing Address - Country:US
Mailing Address - Phone:412-204-9052
Mailing Address - Fax:
Practice Address - Street 1:5231 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1768
Practice Address - Country:US
Practice Address - Phone:412-204-9052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health