Basic Information
Provider Information
NPI: 1982685657
EntityType: 2
ReplacementNPI:  
OrganizationName: PITTSBURGH PASTORAL INSTITUTE
LastName:  
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Mailing Information
Address1: 1025 LIVERPOOL ST
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152331338
CountryCode: US
TelephoneNumber: 4126611239
FaxNumber: 4126611304
Practice Location
Address1: 1025 LIVERPOOL ST
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152331338
CountryCode: US
TelephoneNumber: 4126611239
FaxNumber: 4126611304
Other Information
ProviderEnumerationDate: 11/09/2005
LastUpdateDate: 07/05/2022
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: CROSGROVE
AuthorizedOfficialFirstName: ELIZABETH
AuthorizedOfficialMiddleName: M
AuthorizedOfficialTitleorPosition: DIRECTOR OF INTAKE & CREDENTIALING
AuthorizedOfficialTelephone: 4126611239
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 07/05/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251K00000X423240PAY AgenciesPublic Health or Welfare 

No ID Information.


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