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Organization

PERSEUS HOUSE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORINA SUTTON (ACCTNG CLERK)
(814) 480-5911
Entity
Organization

Contact information

Practice address
1511 PEACH ST, ERIE, PA 16501-2104
(814) 480-5911
(814) 454-8670
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
01/15/2008
Last updated
03/02/2022
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