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NPI Code Detail

MEDICARE: CENTER FOR BEHAVIORAL HEALTH PA, LLC

MEDICARE: CENTER FOR BEHAVIORAL HEALTH PA, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center707146PA
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center707146PA
3251B00000XCase Management Agency
4261QM2800XMethadone Clinic707146PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21007524650004OTHERPACOMMUNITY CARE
3328401OTHERPAVALUE OPTIONS

General Provider Information

NPI Number : 1811995772
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR BEHAVIORAL HEALTH PA, LLC
Provider Business Mailing Address
First Line : 6183 PASEO DEL NORTE STE 200
Second Line :
City : CARLSBAD
State : CA
Zip : 92011-1151
Country : US
Telephone Number : 615-861-6000
Fax Number :
Provider Business Practice Location Address
First Line : 1391 WASHINGTON BLVD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-1801
Country : US
Telephone Number : 412-661-9222
Fax Number : 412-661-9395
Authorized Official
Title or Position : VP & SECRETARY
Name : BRIAN PHILLIP FARLEY
Credential :
Telephone Number : 615-716-9335
Provider Enumeration Date : 07/13/2005
Last Update Date : 04/10/2025

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Directions to “CENTER FOR BEHAVIORAL HEALTH PA, LLC ” Practice Location

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