NPI 1750402954
Harborcreek Youth Services
Practice location
- Address
- 5712 Iroquois Ave Columbus House, Harborcreek, PA 16421-1009
- Phone
- (814) 899-7664
- Fax
- (814) 899-3075
- Mailing address
- 5712 Iroquois Ave, Harborcreek, PA 16421-1009
Authorised official
- Name
- John D. Petulla
- Title
- Chief Executive Officer
- Phone
- (814) 899-7664
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1750402954
- Entity type
- Organization
- NPI issued
- 3 Apr 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.