Provider Demographics
NPI:1447035985
Name:JUNO'S GROUP
Entity type:Organization
Organization Name:JUNO'S GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:O
Authorized Official - Last Name:OLIECH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-303-1164
Mailing Address - Street 1:105 FOX PLAN RD APT 418
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2683
Mailing Address - Country:US
Mailing Address - Phone:412-303-1164
Mailing Address - Fax:
Practice Address - Street 1:305 MARSHALL DR
Practice Address - Street 2:
Practice Address - City:PENN HILLS
Practice Address - State:PA
Practice Address - Zip Code:15235-4427
Practice Address - Country:US
Practice Address - Phone:412-303-1164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health