Organization
PERSEUS HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORINA SUTTON (ACCOUNTING SPECIALIST)
(814) 480-5911
Entity
Organization
Contact information
Practice address
643 E 6TH ST, ERIE, PA 16507-1729
(814) 452-4271
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
05
—
1007713900016
—
PA
05
—
1007713900019
—
PA
05
—
1007713900021
—
PA
05
—
1007713900041
—
PA
05
—
1007713900052
—
PA
05
—
1007713900053
—
PA
Enumeration date
02/01/2006
Last updated
09/20/2023
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