Organization · Type 2 NPI

Cornell Abraxas Group LLC

Children's Substance Abuse Rehabilitation Facility · Marienville, PA

NPI number 1972645893 Active

Practice location

165 Abraxas Road
Marienville, PA 16239

Call (814) 566-6656 Map

Fax (814) 927-8560

Mailing address

2840 Liberty Ave Ste 300
Pittsburgh, PA 15222-4776

Specialties and licenses

Taxonomy	Code	License
Children's Substance Abuse Rehabilitation Facility Primary	3245S0500X	271010 (PA)

Children's Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

NPI record

NPI: 1972645893
Entity type: Organization (Type 2)
Issued: Feb 14, 2007
Last updated: Nov 13, 2023
Status: Active

Other names

<unavail>
Cornell Abraxas I · doing business as
Cornell Abraxas I · doing business as

Authorized official

John Sadler
Director of Business Operations
(814) 566-6656

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1972645893

Cornell Abraxas Group LLC's National Provider Identifier is 1972645893, issued on Feb 14, 2007. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Marienville, PA. The record was last updated on Nov 13, 2023.