Organization
PERSEUS HOUSE INC
Active
Organization
PERSEUS HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORINA SUTTON (ACCOUNTING SPECIALIST)
(814) 480-5911
Entity
Organization
Contact information
Practice address
1510 STATE ST, ERIE, PA 16501-2220
(814) 480-5900
(814) 454-8670
Mailing address
1511 PEACH ST, ERIE, PA 16501
(814) 480-5900
(814) 454-8670
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100771390
—
PA
Enumeration date
02/15/2006
Last updated
08/28/2023
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