Provider Demographics
NPI:1962572651
Name:CROSSKEYS HUMAN SERVICES, INC.
Entity type:Organization
Organization Name:CROSSKEYS HUMAN SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SISTER JAMES
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GERMUSKA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:724-785-6180
Mailing Address - Street 1:302 SHAFFNER AVE
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15417-1921
Mailing Address - Country:US
Mailing Address - Phone:724-785-6180
Mailing Address - Fax:724-785-5130
Practice Address - Street 1:23 S GALLATIN AVE
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-3541
Practice Address - Country:US
Practice Address - Phone:724-438-3756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA423630101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty