Organization Name: | WESTERN PA BEHAVIORAL HEALTH RESOURCES LLC |
NPI Number: | 1033438585 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEITH SHAHOUD (SOLE PROPRIETOR) |
Mailing Address: | 129 Simpson Rd Suite 107 Brownsville |
State: | PA US |
Postal Code: | 154179689 |
Phone Number: | 7247854346 |
Fax Number: | 7247854347 |
NPI Enumeration Date: | 05/24/2010 |
NPI Last Update Date: | 05/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | MD423515 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |