Cornell Abraxas Group, Inc.

NPI 1043340052 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1043340052
Enumeration Date 03/07/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JONATHAN P. JONATHAN
Position VICE PRESIDENT
Phone (717) 749-3066
Fax
Practice Location
10058 S MOUNTAIN RD
BUILDING #3
SOUTH MOUNTAIN PA, 17261-0900, US
Phone (717) 749-3066
Fax
Business Location
2840 LIBERTY AVE
SUITE 300
PITTSBURGH PA, 15222-4706, US
Phone (412) 208-4000
Fax (412) 227-0801
Toxanomy
Taxonomy Code 322D00000X
License State Pennsylvania
License Number 304420
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According to our database, Cornell Abraxas Group, Inc. NPI is 1043340052, taxonomy code is 322D00000X and license number is 304420, license state is located at Pennsylvania. Cornell Abraxas Group, Inc. physically located at 10058 S Mountain Rd, South Mountain PA, 17261-0900. NPI Number 1033115704 has the healthcare provider type.

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1043340052 NPI number is provided on an as is basis without warranty of any kind. 1043340052 is maintained by the National Plan & Provider Enumeration System. The contents of Cornell Abraxas Group, Inc. are for informational purposes only.