Organization
CORNELL ABRAXAS GROUP INC
Active
Other names
Abraxas III
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SADLER (SR BUSINESS MANAGER)
(814) 459-0618
Entity
Organization
Contact information
Practice address
437 TURRETT ST, PITTSBURGH, PA 15206-3370
(412) 361-0904
Mailing address
437 TURRETT ST, PITTSBURGH, PA 15206-3370
(412) 361-0904
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
458290
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
458290
DDAPL LICENSE
PA
Enumeration date
02/15/2007
Last updated
08/22/2020
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