Harborcreek Youth Services

LBN: Harborcreek Youth Services
Harborcreek Youth Services is an health care organization with primary practice located at 3120 Peach St Mccormick House, Erie PA 16508-2734. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Harborcreek Youth Services can be contacted via phone (814) 459-2212, or through Petulla, John D. via phone (814) 899-7664.

Contact Information

Primary practice address
3120 Peach St Mccormick House Erie PA 16508-2734
Phone: (814) 459-2212
Fax: (814) 874-3492
Website:
Map and Directions
Authorized official contact:
Name: Petulla, John D. LSW
Phone: (814) 899-7664

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 433390 Pennsylvania

Profile Details

NPI number 1386765923
LBN Legal business name Harborcreek Youth Services
DBA Doing business as
Authorized official Petulla, John D. LSW
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Aug 22nd, 2020 - about 4 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 1386765923 NPPES
Pennsylvania MEDICAID 001410380 0016

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