NPI | 1194164442 |
---|---|
Other Name | ABRAXAS 1 |
Entity Type | Organization |
Authorized Contact | JOHN SADLER Director, Business Management 814-566-6656 |
Organization Subpart ? | Yes |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 411260) |
Enumeration Date | 2013-06-20 |
Last Update Date | 2024-01-10 |