Healthcare Provider Details

I. General information

NPI: 1831118058
Provider Name (Legal Business Name): THE HIGHLAND HOUSE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 07/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 HIGHLAND AVE
NEW CASTLE PA
16101-3670
US

IV. Provider business mailing address

PO BOX 1405 101 S. MERCER ST. CENTRAL BUILDING, SUITE 202
NEW CASTLE PA
16103-1405
US

V. Phone/Fax

Practice location:
  • Phone: 724-654-7760
  • Fax: 724-654-9845
Mailing address:
  • Phone: 724-856-7349
  • Fax: 724-856-7353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number377010
License Number StatePA

VIII. Authorized Official

Name: MS. MARILYN PLOTTS
Title or Position: EXECUTIVE DIRECTOR
Credential: BS, CADC, CCDP
Phone: 724-856-7349