Organization
PERSEUS HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK AMENDOLA (EXECUTIVE DIRECTOR)
(814) 480-5956
Entity
Organization
Contact information
Practice address
1510 STATE ST, ERIE, PA 16501-2220
(814) 480-5905
(814) 456-4229
Mailing address
1511 PEACH ST, ERIE, PA 16501-2104
(814) 480-5911
(814) 454-8670
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
407390
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407390
—
PA
Enumeration date
01/09/2007
Last updated
03/02/2022
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