Healthcare Provider Details
I. General information
NPI: 1841218757
Provider Name (Legal Business Name): MILESTONE CENTERS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/18/2006
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
712 SOUTH AVE
PITTSBURGH PA
15221-2940
US
IV. Provider business mailing address
712 SOUTH AVE
PITTSBURGH PA
15221-2940
US
V. Phone/Fax
- Phone: 412-243-3400
- Fax: 412-244-4797
- Phone: 412-243-3400
- Fax: 412-244-4797
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | 422430 |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | 422430 |
| License Number State | PA |
VIII. Authorized Official
Name: MS.
BARBARA
CONNIFF
Title or Position: CEO
Credential: ACSW
Phone: 412-371-7391