Provider Demographics
NPI:1174847958
Name:JUSTICE WORKS YOUTH CARE, INC.
Entity type:Organization
Organization Name:JUSTICE WORKS YOUTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:HEIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-342-1068
Mailing Address - Street 1:1500 ARDMORE BLVD.
Mailing Address - Street 2:SUITE 410
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-4469
Mailing Address - Country:US
Mailing Address - Phone:412-342-1068
Mailing Address - Fax:412-241-6675
Practice Address - Street 1:1500 ARDMORE BLVD.
Practice Address - Street 2:SUITE 410
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-4469
Practice Address - Country:US
Practice Address - Phone:412-342-1068
Practice Address - Fax:412-241-6675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health