institution
C Michaela Jacks Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Pittsburgh, Pennsylvania
NPI 1144718172

C Michaela Jacks Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Pittsburgh, PA and is specialized in Mental Health (Including Community Mental Health Center). C Michaela Jacks Llc practices in Pittsburgh, PA. The NPI Number for C Michaela Jacks Llc is 1144718172 and holds a License No. MF000999 (Pennsylvania).

The current practice location address for C Michaela Jacks Llc is 1789 S Braddock Ave Ste 350, Pittsburgh, PA and can be reached out via phone at 412-213-8425.

Location: 1789 S Braddock Ave Ste 350, Pittsburgh, PA, 15218-1871
institution
Provider Profile Details
NPI Number
1144718172
Provider Name
C Michaela Jacks Llc
Credential
Provider Entity Type
Organization
Address
1789 S Braddock Ave Ste 350, Pittsburgh, PA, 15218-1871
Phone Number
412-213-8425
Fax Number
Provider Enumeration Date
04/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1789 S Braddock Ave Ste 350
City
State
Zip
15218-1871
Phone Number
412-213-8425
Fax Number
person
Provider Business Mailing Address Details
Address
1789 S Braddock Ave Ste 350
City
State
Zip
15218-1871
Phone Number
412-213-8425
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
MF000999 (Pennsylvania)
Definition
Definition to come...
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