Provider Demographics
NPI:1366742108
Name:THE WATSON INSTITUTE FRIENDSHIP ACADEMY
Entity type:Organization
Organization Name:THE WATSON INSTITUTE FRIENDSHIP ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-749-2879
Mailing Address - Street 1:255 S NEGLEY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3522
Mailing Address - Country:US
Mailing Address - Phone:412-365-3800
Mailing Address - Fax:
Practice Address - Street 1:255 S NEGLEY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3522
Practice Address - Country:US
Practice Address - Phone:412-365-3800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE WATSON INSTITUTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA442600251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health