| NPI | 1710039227 |
|---|---|
| Doing Business As | CORNELL ABRAXAS II |
| Entity Type | Organization |
| Authorized Contact | JIM SCHIEBERL Consulting Psychologist 814-459-0618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: PA 454310) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |