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Organization
CORNELL ABRAXAS GROUP INC.
Active
Organization
CORNELL ABRAXAS GROUP INC.
Active
Other names
Cornell Abraxas PSRU
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARON DENNISTON M.D, (CONSULTING PSYCHIATRIST)
(814) 459-0618
Entity
Organization
Contact information
Practice address
429 W 6TH ST, ERIE, PA 16507-1215
(814) 459-0618
(814) 459-0682
Mailing address
429 W 6TH ST, ERIE, PA 16507-1215
(814) 459-0618
(814) 459-0682
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
1007472500003
PA
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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