Organization
CORNELL ABRAXAS GROUP LLC
Active
Other names
Cornell Abraxas I
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SADLER (DIRECTOR OF BUSINESS OPERATIONS)
(814) 566-6656
Entity
Organization
Contact information
Practice address
165 ABRAXAS ROAD, MARIENVILLE, PA 16239
(814) 566-6656
(814) 927-8560
Mailing address
2840 LIBERTY AVE STE 300, PITTSBURGH, PA 15222-4776
(814) 566-6656
(814) 927-8560
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
271010
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271010
DDAPL LICENSE
PA
Enumeration date
02/14/2007
Last updated
11/13/2023
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