Provider First Line Business Practice Location Address:
SHADY SIDE ACADEMY
Provider Second Line Business Practice Location Address:
500 SQUAW RUN RD EAST
Provider Business Practice Location Address City Name:
PGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15238
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-968-3189
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/16/2020