| NPI | 1649322157 |
|---|---|
| Doing Business As | CORNELL ABRAXAS ERMH |
| Entity Type | Organization |
| Authorized Contact | BARON DENNISTON Consulting Psychiatrist 814-459-0618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 405190) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2013-01-16 |