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Cornell Abraxas Group INC

Psychiatric Residential Treatment Facility in Erie, PA. Organization (NPI-2).

NPI number1649322157
StatusActive
Last updated in NPPESJan 16, 2013

Details

NPI
1649322157
Entity type
Organization (NPI-2)
Legal business name
Cornell Abraxas Group INC
Organization subpart
No
Enumeration date
Jan 17, 2007
Last updated
Jan 16, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
323P00000X Psychiatric Residential Treatment Facility405190PAYes

Other names

  • Cornell Abraxas Ermh (Doing Business As)

Practice location

437 W 6th St
Erie, PA 16507-1215

Phone 814-459-0618 · Fax 814-459-0682

Mailing address

437 W 6th St
Erie, PA 16507-1215

Phone 814-459-0618 · Fax 814-459-0682

Authorized official

Baron Denniston
Consulting Psychiatrist
8144590618

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