Harborcreek Youth Services

LBN: Harborcreek Youth Services
Harborcreek Youth Services is an health care organization with primary practice located at 138 W 25Th St Sr. Louis House, Erie PA 16502-2811. 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) 454-6190, or through Petulla, John D. via phone (814) 899-7664.

Contact Information

Primary practice address
138 W 25Th St Sr. Louis House Erie PA 16502-2811
Phone: (814) 454-6190
Fax: (814) 454-5409
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 433370 Pennsylvania

Profile Details

NPI number 1669593869
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 3rd, 2007
Last updated Aug 22nd, 2020 - about 5 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 1669593869 NPPES
Pennsylvania MEDICAID 001410380 0017

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