Cornell Abraxas I

LBN: Cornell Abraxas Group Llc
Cornell Abraxas I is an health care organization with primary practice located at 165 Abraxas Road , Marienville PA 16239. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Treatment, Children, which is considered as the primary health care specialty. Cornell Abraxas Group Llc can be contacted via phone (814) 566-6656, or through Sadler, John via phone (814) 566-6656.

Contact Information

Primary practice address
165 Abraxas Road Marienville PA 16239
Phone: (814) 566-6656
Fax: (814) 927-8560
Website:
Map and Directions
Authorized official contact:
Name: Sadler, John
Phone: (814) 566-6656

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X 271010 Pennsylvania

Profile Details

NPI number 1972645893
LBN Legal business name Cornell Abraxas Group Llc
DBA Doing business as Cornell Abraxas I
Authorized official Sadler, John
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Nov 13th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972645893 NPPES
Pennsylvania Other 271010 DDAPL LICENSE

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