Harborcreek Youth Services

LBN: Harborcreek Youth Services
Harborcreek Youth Services is an health care organization with primary practice located at 8171 Edinboro Rd , Erie PA 16509-4468. 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) 899-7664, or through Petulla, John D. via phone (814) 899-7664.

Contact Information

Primary practice address
8171 Edinboro Rd Erie PA 16509-4468
Phone: (814) 899-7664
Fax:
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 433430 Pennsylvania

Profile Details

NPI number 1851412480
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851412480 NPPES
Pennsylvania MEDICAID 001410380 0015

Popular Providers