Organization
CORNELL ABRAXAS GROUP INC
Active
Other names
Cornell Abraxas II
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM SCHIEBERL PHD (CONSULTING PSYCHOLOGIST)
(814) 459-0618
Entity
Organization
Contact information
Practice address
502 W 6TH ST, ERIE, PA 16507-1129
(814) 459-0618
(814) 459-0682
Mailing address
502 W 6TH ST, ERIE, PA 16507-1129
(814) 459-0618
(814) 459-0682
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
454310
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000302
RESIDENTIAL TREATMENT
PA
Enumeration date
01/17/2007
Last updated
08/22/2020
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