Organization
HARBORCREEK YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLLEEN DAISLEY MSN RN (COMPLIANCE OFFICER)
(814) 899-7664
Entity
Organization
Contact information
Practice address
5712 IROQUOIS AVE, HARBORCREEK, PA 16421-1009
(814) 899-7664
(814) 899-3075
Mailing address
5712 IROQUOIS AVE, HARBORCREEK, PA 16421-1009
(814) 899-7664
(814) 899-3075
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
454480
—
PA
Enumeration date
12/29/2022
Last updated
01/03/2023
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