| Stairways Behavioral Health | |
|
106 E 29th St Erie PA 16504-1052 | |
| (814) 453-5806 | |
| (814) 453-4757 |
| Full Name | Stairways Behavioral Health |
|---|---|
| Speciality | Clinic/center |
| Location | 106 E 29th St, Erie, Pennsylvania |
| Authorized Official Name and Position | Thomas Kirkwood (CFO) |
| Authorized Official Contact | 8144535806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stairways Behavioral Health 138 E 26th St Erie PA 16504-1049 Ph: (814) 453-5806 | Stairways Behavioral Health 106 E 29th St Erie PA 16504-1052 Ph: (814) 453-5806 |
| NPI Number | 1982724548 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 05/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982724548 | NPI | - | NPPES |
| 1000063480019 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 425610 (Pennsylvania) | Secondary |
| 261Q00000X | Clinic/center | 401360 (Pennsylvania) | Primary |
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