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General NPI Number Information
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NPI Number | 1043399124
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Entity Type | Organization
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Legal Business Name | SOUTHWOOD PSYCHIATRIC HOSPITAL, LLC
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 311 STATION ST
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-1843
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Country | US
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Telephone | 412-257-2290
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Fax | 412-257-7689
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Provider Business Mailing Address
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Address Line | 2575 BOYCE PLAZA RD
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City | PITTSBURGH
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State | PA
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Zip | 15241-3925
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Country | US
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Telephone | 412-257-2290
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Fax | 412-257-7689
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Authorized Official
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Title or Position | VICE PRESIDENT & SECRETARY
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Name | MR. BRIAN P FARLEY
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Credential |
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Telephone | 615-861-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | 402890
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License Number State | PA
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