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NPI Code Detail

MEDICARE: JUSTICEWORKS BEHAVIORALCARE, LLC

MEDICARE: JUSTICEWORKS BEHAVIORALCARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1164791893
Entity Type Code : Organization
Provider Name (Legal Business Name) : JUSTICEWORKS BEHAVIORALCARE, LLC
Provider Business Mailing Address
First Line : 1500 ARDMORE BLVD
Second Line : SUITE 410
City : PITTSBURGH
State : PA
Zip : 15221-4468
Country : US
Telephone Number : 412-342-1068
Fax Number : 412-241-6675
Provider Business Practice Location Address
First Line : 1500 ARDMORE BLVD
Second Line : SUITE 410
City : PITTSBURGH
State : PA
Zip : 15221-4468
Country : US
Telephone Number : 412-342-1068
Fax Number : 412-241-6675
Authorized Official
Title or Position : CEO, PRESIDENT
Name : DANIEL S HEIT
Credential :
Telephone Number : 412-342-1068
Provider Enumeration Date : 12/27/2011
Last Update Date : 12/27/2011

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