# CORNELL ABRAXAS GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cornell Abraxas ERMH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649322157
- **Authorized official:** DR. BARON DENNISTON M.D. (CONSULTING PSYCHIATRIST)
- **Authorized official phone:** (814) 459-0618

## Contact information

- **Practice address:** 437 W 6TH ST, ERIE, PA 16507-1215
- **Practice address phone:** (814) 459-0618
- **Practice address fax:** (814) 459-0682
- **Mailing address:** 437 W 6TH ST, ERIE, PA 16507-1215
- **Mailing address phone:** (814) 459-0618
- **Mailing address fax:** (814) 459-0682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 405190 | PA | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 01/16/2013