NPI: 1134385669
Provider Name: CORNELL ABRAXAS GROUP, LLC
Doing Business As: ABRAXAS COUNSELING CENTER
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization
Specialization: Substance Abuse Treatment, Children
CLIA Number: 36D1042965
Address:
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
Phone: (419) 347-3322
Get Directions
CORNELL ABRAXAS GROUP, LLC is a substance abuse treatment and children substance abuse rehabilitation facility in Shelby, OH. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. CORNELL ABRAXAS GROUP, LLC NPI is 1134385669. The provider is registered as an organization entity type.
The provider Is Doing Business As Abraxas Counseling Center.
The provider's business location address is:
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875-466
Phone: (419) 347-3322
Fax: (419) 747-0067
The provider's authorized official is Julia Vogt .
The authorized official title is Business Manager and has the following contact phone number (419) 747-0881.
The CLIA number assigned to this NPI record is 36D1042965 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/4/2008 and was last updated on 6/13/2022.