Organization
CORNELL ABRAXAS GROUP, LLC
Active
Parent organization
CORNELL ABRAXAS GROUP, LLC
Other names
Abraxas Counseling Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORNELL ABRAXAS GROUP, LLC
Authorized official
JULIA VOGT (BUSINESS MANAGER)
(419) 747-0881
Entity
Organization
Contact information
Practice address
2775 STATE ROUTE 39, SHELBY, OH 44875-9466
(419) 347-3322
(419) 747-0067
Mailing address
2775 STATE ROUTE 39, SHELBY, OH 44875-9466
(419) 347-3322
(419) 747-0067
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
0680
OH
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063924
—
OH
05
—
2876928
—
OH
Enumeration date
08/04/2008
Last updated
06/13/2022
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