Provider Demographics
NPI:1285440453
Name:YOGA RECOVERY PITTSBURGH
Entity type:Organization
Organization Name:YOGA RECOVERY PITTSBURGH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:DANIELE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:267-216-7751
Mailing Address - Street 1:3418 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-1304
Mailing Address - Country:US
Mailing Address - Phone:267-216-7751
Mailing Address - Fax:
Practice Address - Street 1:3418 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-1304
Practice Address - Country:US
Practice Address - Phone:267-216-7751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-03
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health