Provider Demographics
NPI:1972918597
Name:PASSAGES TO RECOVERY, INC.
Entity type:Organization
Organization Name:PASSAGES TO RECOVERY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BENDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-218-7380
Mailing Address - Street 1:564 FORBES AVE
Mailing Address - Street 2:SUITE 930
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-2903
Mailing Address - Country:US
Mailing Address - Phone:412-535-4310
Mailing Address - Fax:412-535-4344
Practice Address - Street 1:1400 SOUTH BRADDOCK AVENNUE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:SWISSVALE
Practice Address - State:PA
Practice Address - Zip Code:15218-1264
Practice Address - Country:US
Practice Address - Phone:412-281-7380
Practice Address - Fax:412-460-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA707273261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder