# HARBORCREEK YOUTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669593869
- **Authorized official:** MR. JOHN D. PETULLA LSW (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (814) 899-7664

## Contact information

- **Practice address:** 138 W 25TH ST, SR. LOUIS HOUSE, ERIE, PA 16502-2811
- **Practice address phone:** (814) 454-6190
- **Practice address fax:** (814) 454-5409
- **Mailing address:** 5712 IROQUOIS AVE, HARBORCREEK, PA 16421-1009
- **Mailing address phone:** (814) 899-7664
- **Mailing address fax:** (814) 899-3075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 433370 | PA | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/22/2020