| Southwest Behavioral Care, Inc. | |
|
1929 Dailey Ave Latrobe PA 15650-3087 | |
| (724) 532-1700 | |
| (724) 532-2769 |
| Full Name | Southwest Behavioral Care, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1929 Dailey Ave, Latrobe, Pennsylvania |
| Authorized Official Name and Position | Chris Garrett (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7244890215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Behavioral Care, Inc. 203 S Maple Ave Lower Level Greensburg PA 15601-3216 Ph: (724) 853-7550 | Southwest Behavioral Care, Inc. 1929 Dailey Ave Latrobe PA 15650-3087 Ph: (724) 532-1700 |
| NPI Number | 1750595450 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 02/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750595450 | NPI | - | NPPES |
| 1007401140150 | Medicaid | PA | |
| 657035 | Other | PA | PA STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 657035 (Pennsylvania) | Secondary |
| 251S00000X | Community/behavioral Health | 657035 (Pennsylvania) | Primary |
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