Organization
HARBORCREEK YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN DAISLEY (COMPLIANCE OFFICER/DON)
(814) 899-7664
Entity
Organization
Contact information
Practice address
5712 IROQUOIS AVE, HARBORCREEK, PA 16421-1009
(814) 899-7664
Mailing address
5712 IROQUOIS AVE, HARBORCREEK, PA 16421-1009
(814) 899-7664
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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