Organization
PERSEUS HOUSE, INC
Active
Other names
BOYS INTENSIVE RTF, Perseus House West 7th Street RTF
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORINA SUTTON (ACCOUNTING CLERK)
(814) 480-5911
Entity
Organization
Contact information
Practice address
516 W 7TH ST, ERIE, PA 16502-1333
(814) 453-6389
(814) 879-0801
Mailing address
1511 PEACH ST, ERIE, PA 16501-2104
(814) 480-5911
(814) 454-8670
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100771390
—
PA
Enumeration date
06/04/2019
Last updated
03/02/2022
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