Provider Demographics
NPI:1538584388
Name:BETHANY CHRISTIAN SERVICES OF WESTERN PA
Entity type:Organization
Organization Name:BETHANY CHRISTIAN SERVICES OF WESTERN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-940-2900
Mailing Address - Street 1:10521 PERRY HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9517
Mailing Address - Country:US
Mailing Address - Phone:724-940-2900
Mailing Address - Fax:724-940-2901
Practice Address - Street 1:10521 PERRY HWY STE 200
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9517
Practice Address - Country:US
Practice Address - Phone:724-940-2900
Practice Address - Fax:724-940-2901
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BETHANY CHRISTIAN SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-03
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty