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CORNELL ABRAXAS GROUP INC NPI 1710039227


NPI Information

NPI: 1710039227
Provider Name: CORNELL ABRAXAS GROUP INC

Doing Business As: CORNELL ABRAXAS II

Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
502 W 6TH ST
ERIE, PA
ZIP 16507
Phone: (814) 459-0618
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CORNELL ABRAXAS GROUP INC is a substance abuse treatment and children substance abuse rehabilitation facility in Erie, PA. The provider is a facility or distinct part of a facility 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 INC NPI is 1710039227. The provider is registered as an organization entity type.
The provider Is Doing Business As Cornell Abraxas Ii.

The provider's business location address is:

502 W 6TH ST
ERIE, PA
ZIP 16507-129
Phone: (814) 459-0618
Fax: (814) 459-0682

The provider's authorized official is Jim Schieberl .
The authorized official title is Consulting Psychologist and has the following contact phone number (814) 459-0618.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children454310PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11000302OTHERPENNSYLVANIARESIDENTIAL TREATMENT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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