Whalio Doctors

NPI 1043340052

Cornell Abraxas Group, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility South Mountain, PA

Practice location

Address
10058 S Mountain Rd Building #3, South Mountain, PA 17261-0900
Phone
(717) 749-3066
Mailing address
2840 Liberty Ave Suite 300, Pittsburgh, PA 15222-4706

Authorised official

Name
Jonathan P. Swatsburg
Title
Vice President
Phone
(412) 208-4000

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 304420 (PA)

Registry record

NPI
1043340052
Entity type
Organization
NPI issued
7 Mar 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.