Organization
ERIE FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN COSTA (EXECUTIVE DIRECTOR)
(814) 520-8214
Entity
Organization
Contact information
Practice address
606 RASPBERRY ST, ERIE, PA 16502-1123
(814) 520-8214
(814) 528-5028
Mailing address
606 RASPBERRY ST, ERIE, PA 16502-1123
(814) 520-8214
(814) 528-5028
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
524644
OCDEL
PA
Enumeration date
04/28/2020
Last updated
04/28/2020
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