Healthcare Provider Details

I. General information

NPI: 1477381903
Provider Name (Legal Business Name): CDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 HOLIDAY DR STE 550
PITTSBURGH PA
15220-2769
US

IV. Provider business mailing address

750 HOLIDAY DR STE 550
PITTSBURGH PA
15220-2769
US

V. Phone/Fax

Practice location:
  • Phone: 412-909-4658
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SCOTT SARNACKE
Title or Position: CFO
Credential:
Phone: 615-864-8145