CORNELL ABRAXAS GROUP INC (NPI# 1972645893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972645893 |
| Entity Type | Organization |
| Organization Name | CORNELL ABRAXAS GROUP INC |
| Other Organization Name | CORNELL ABRAXAS I |
| Practice Address |
North Forest Steet Marienville PA 16239 |
| Mailing Address |
Po Box 59 Marienville PA 16239-0059 |
| Practice Telephone | 8149276615 |
| Practice Fax Number | 8149278560 |
| Mailing Telephone | 8149276615 |
| Mailing Fax Number | 8149278560 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN DAVID SADLER (SR BUSINESS MANAGER) |
| Authorized Official Telephone | 8149276615 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
271010 | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | DDAPL LICENSE | 271010 | 01 |
| Other Name | Type Code |
|---|---|
| Cornell Abraxas I | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871636084 | Cornell Abraxas Group Inc | Substance Abuse Rehabilitation Facility | 306 Penn Ave, Pittsburgh, PA 15221-2134 | 2007-02-15 |
| 1790828978 | Cornell Abraxas Group Inc | Substance Abuse Rehabilitation Facility | 437 Turrett St, Pittsburgh, PA 15206-3370 | 2007-02-15 |
| 1649322157 | Cornell Abraxas Group Inc | Psychiatric Residential Treatment Facility | 437 W 6th St, Erie, PA 16507-1215 | 2007-01-17 |
| 1710039227 | Cornell Abraxas Group Inc | Substance Abuse Rehabilitation Facility | 502 W 6th St, Erie, PA 16507-1129 | 2007-01-17 |
| Street Address |
NORTH FOREST STEET |
| City | MARIENVILLE |
| State | PA |
| Zip Code | 16239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598260002 | Thomas Slimick | Ambulance | 302 West Spruce Street, Marienville, PA 16239 | 2018-03-27 |
| 1982130803 | Andrew James Leslie | Nurse Practitioner | 286 Woodland Drive, Marienville, PA 16239 | 2017-05-11 |
| 1801247671 | Mhm Inc. | Psychiatric Hospital | 286 Woodland Dr, Marienville, PA 16239 | 2016-06-23 |
| 1093128761 | Ann Songer | Speech-Language Pathologist | 156 Snyder Memorial Road, Marienville, PA 16239 | 2014-06-10 |
| 1477684264 | Deerfield Behavioral Health of Warren | Clinic/Center | Chestnut Street, Marienville Medical Center, Marienville, PA 16239 | 2007-03-07 |
| 1417044173 | Clarion Development Corporation | Pharmacy | 120 Cherry St, Marienville, PA 16239 | 2006-10-06 |
| 1376062703 | Craig Jacob Hasper | Nurse Practitioner | 286 Woodland Drive, Marienville, PA 16239 | 2017-09-18 |
| 1235465592 | Brookville Hospital | Clinic/Center | 125 Chestnut Street, Marienville, PA 16239 | 2009-10-21 |
| 1194164442 | Cornell Abraxas Group, Inc | Psychiatric Residential Treatment Facility | 165 Abraxas Rd, Marienville, PA 16239-0059 | 2013-06-20 |
| 1225262413 | Robert L Maxa | Family Medicine | 1 Woodland Dr., Marienville, PA 16239-0307 | 2009-05-04 |
| Find all providers in zip 16239 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225576812 | Acollective Consulting LLC | Substance Abuse Rehabilitation Facility | 710 Sproul St, Chester, PA 19013-4209 | 2017-02-03 |
| 1164897658 | Solution House, Inc | Substance Abuse Rehabilitation Facility | 4143 Paul St, Philadelphia, PA 19124-4607 | 2015-12-09 |
| 1811255888 | People R Us Community Resdential Services | Substance Abuse Rehabilitation Facility | 2101 W Tioga St, 2103 West Tioga Street, Philadelphia, PA 19140-3922 | 2012-04-27 |
| 1871636084 | Cornell Abraxas Group Inc | Substance Abuse Rehabilitation Facility | 306 Penn Ave, Pittsburgh, PA 15221-2134 | 2007-02-15 |
| 1790828978 | Cornell Abraxas Group Inc | Substance Abuse Rehabilitation Facility | 437 Turrett St, Pittsburgh, PA 15206-3370 | 2007-02-15 |
| 1710039227 | Cornell Abraxas Group Inc | Substance Abuse Rehabilitation Facility | 502 W 6th St, Erie, PA 16507-1129 | 2007-01-17 |
| 1285783332 | Community Service Foundation, Inc. | Substance Abuse Rehabilitation Facility | 252 W Swamp Rd, Doylestown, PA 18901-2422 | 2007-01-09 |
| City | MARIENVILLE |
| Zip Code | 16239 |
Please comment or provide details below to improve the information on CORNELL ABRAXAS GROUP INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.