| NPI | 1275684060 |
|---|---|
| Doing Business As | CORNELL ABRAXAS PSRU |
| Entity Type | Organization |
| Authorized Contact | BARON DENNISTON Consulting Psychiatrist 814-459-0618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 1007472500003) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |