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General NPI Number Information
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NPI Number | 1407060171
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Entity Type | Organization
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Legal Business Name | SOUTHWEST BEHAVIORAL CARE, INC.
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 3 KENSINGTON SQ STE B
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City | NEW KENSINGTON
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State | PA
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Zip | 15068-6443
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Country | US
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Telephone | 724-339-6860
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Fax | 724-339-5584
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Provider Business Mailing Address
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Address Line | 203 S MAPLE AVE
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City | GREENSBURG
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State | PA
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Zip | 15601-3216
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Country | US
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Telephone | 724-834-0420
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Fax | 724-853-7613
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHRIS GARRETT
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Credential | MSW, LSW
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Telephone | 724-489-0215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 657028
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License Number State | PA
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